Facility Evaluation Report

Licensing Program Analysts (LPA) Alviso conducted a Required- 1 Year visit, on 4/27/26 at approximately 9:45am, and was greeted by staff. There were two (2) staff on duty, lead caregiver Ana, and Brittany. Administrator Bana Solomon arrived shortly after to meet with the LPA.

Facility has an approved dementia plan of operation. There is an approved hospice waiver for six (6) residents. Facility has a required infection control plan. Facility has a required emergency and disaster plan.

Emergency disaster drills are being conducted as required; Last drill was conducted on 1/16/26 on Emergency Utility Shut Down The facility does have emergency food, water, and supplies to meet the "72 hour shelter in place" requirements.

Facility has a fire clearance approval for a total of six non-ambulatory, of which one (1) may be bedridden. Fire extinguishers, two (2), were charged, in the green. Facility has a working carbon monoxide detector. All smoke alarms are hard wired and working appropriately. All exits were clear and unobstructed.

LPA reviewed five (5) resident files. Files were complete.

LPA reviewed five (5) staff files; All staff have criminal record clearance. Staff have first aid certification and CPR certification. LPA reviewed staff training.