Facility Evaluation Report

At approximately 1:45 PM Licensing Program Analyst (LPA) Stevenson arrived unannounced to conduct a required- 1 Year visit met with Licensee/Administrator Claudia Quijada. There are currently four (4) residents in care, and two (2) residents are on hospice and no residents using PRN or other supplemental oxygen.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Facility has an infection control plan as required. Facility has an emergency disaster plan as required.

Facility has a fire clearance approval for a total of six non-ambulatory residents, of which two (2) may be bedridden. All locks on exterior gates are approved. The self latching fire exit gate is never to have a lock on it. The facility's last fire drill and evacuation drill was conducted 10/21/25. The facility does have emergency food, water, and miscellaneous supplies to meet the "72 hour shelter in place" requirements.

Facility was observed to be clean and without odors. Hot water in bathrooms available to residents in care measured between 105-120F as required by regulation. All exits were free and clear of obstruction. Fire extinguisher was serviced and tagged as required on 04/2025. Smoke alarms and carbon monoxide detectors were working properly during the inspection.

The backyard has outside cement patio, with furnishings for resident use, including areas providing shade for residents as needed. The facility was at a comfortable temperature for residents in care; Residents were observed to be watching television and engaging with the staff during the inspection.