Facility Evaluation Report

Unannounced annual visit made out to this facility on 04/24/2023 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Maricel Casillas, who was briefly interviewed at this time.

It was learned that this facility does not have any residents at this time. The facility designated Administrator, Maricel Casillas, was still in the process of becoming vendorized through Valley Mountain Regional Center. As a result, no residents have been placed at this facility at this time.

This facility is seeking to accept and retain up to (4) residents, of which (3) can be ambulatory with (1) resident who can be non ambulatory at any given time. This facility is seeking vendorization to accept and retain Level 4I residents.

Common areas were toured. Dining area, living area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time.

Kitchen area was toured. Cabinets and drawers were reviewed.

Fire extinguisher, hanging on kitchen wall, was observed to have been annually purchased from the local home improvement store with receipt attached at this time.

Cabinet below the sink was reviewed. It was observed to contain cleaning agents and supplies which were locked and made inaccessible at this time.

A tour of the facility resident bedrooms was conducted. Furnishings and furniture were observed to be sufficient and able to meet the needs of the residents at this time.

A tour of the facility resident restrooms was conducted. Grab bars and nonskid mats were observed to be present and in good repair at this time.

Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at this time.

Food storage supply was reviewed. This LPA observed 2-day perishable food supplies and 7-day nonperishable food supplies at this time.