Facility Evaluation Report

Licensing Program Analyst (LPA) Alviso arrived unannounced to conduct a Required -1 Year visit, at approximately 10:20am on 8/5/25, and met with Administrator Otilia Molina Vazquez. Administrator Otilia works for licensees other home, Wild Rose Care Home. Licensee Mary Garcia, and facility's Administrator Erika Molina arrived to meet with the LPA.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for three (3) residents. Facility has a required emergency disaster plan and a required infection control plan.

Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden. Facility has required smoke alarms, ten (10), which are also carbon monoxide detectors. Fire extinguishers, three (3) were serviced and tagged as required. Emergency disaster drills are being conducted as required, per file review.

LPA reviewed six (6) resident files. All files were complete.

LPA reviewed four (4) staff files. All staff have criminal record clearance. All staff have required first aid certification and CPR certification. All staff have required annual training.

LPA toured the facility with Administrator Otilia. Hot water was measured at 116. degrees Fahrenheit. All exits were free and clear of obstruction. Food supply was observed to be sufficient. All medications were locked and inaccessible to residents in care. All cleaners/disinfectants were locked and inaccessible to residents in care.