Facility Evaluation Report

On 08/12/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct an annual visit. LPA met with Facility Designated Administrator (FDR), Janet Kanno and explained the purpose of the visit. The purpose of this visit was to conduct an annual visit. There was one other staff member present, Shelly Vavra.

This facility is licensed to serve an retain residents who are 18 to 59 years of age. This facility is also vendorized by Valley Mountain Regional Center to serve and retain Level 2 residents at this time.

Current Census was 6. 2 out 6 residents were out on resident outings at this time. This facility was also observed to have been replacing their cracked tiles at the time of this visit.

LPA reviewed 3 resident files. 3 out 3 resident files were current and up to date. LPA reviewed 2 staff files. 2 out 2 staff files were current and up to date. The administrator has an active certificate #7034606735 and expires on 11/20/2025.

Fire extinguishers appeared to have been annually inspected by Jorgenson Fire Co. A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet resident needs at this time.A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time. LPAs observed a locked centralized stored medication cabinet located in the hallway. Along with the administrator, the LPAs observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components. The kitchen area was toured. LPAs observed a sufficient seven days of non-perishable foods as well as two days worth of perishable food supplies in the main kitchen. Additional perishable supplies were identified in an additional refrigerator in the back patio.