Facility Evaluation Report

02/24/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently five (5) residents in care. Facility approved/cleared for six (6) non-ambulatory. LPA was greeted by caregiver. Administrator, Darwin Galicia arrived shortly after.

LPA and staff toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated.

All rooms were furnished per regulation. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected December 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. LPA observed an activities calendar with various activities for residents to participate in. Chemicals were observed to be inaccessible to residents in care. Facility has a in ground pool that was found to have a locked gate with surrounding fencing. Sharps were located in a kitchen drawer and found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record.

LPA conducted a review of four resident records. All records had the required documentation, however LPA observed one out of four residents to not have an updated medical assessment. (Deficiency Cited) LPA conducted review of four staff records/training. Upon a review of staff records, LPA found all staff to have required annual training. However LPA found three out of four staff to not have a current 1st Aid & CPR certification on file. (Deficiency Cited)