Facility Evaluation Report

On 02/03/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a Post Licensing Visit. LPA met with Facility Designated Administrator (FDA), Leilani Ramiro and explained the purpose of the visit. The purpose of this visit was to conduct an Post-Licensing Visit.

There were 3 other staff members present during the course of this post-licensing visit.

Current census was 3. All residents were out of the facility at this time.

This facility is licensed to serve and retain 4 ambulatory residents. This facility is also vendorized by Valley Mountain Regional Center to serve and retain Level 4I residents at this time.

A brief interview with FDA Ramiro was conducted.

LPA reviewed 3 resident files and 3 staff files. All of which were complete and up to date. LPA reviewed facility emergency drill log. The last drill was conducted on 1/22/2025 with staff and residents. The facility designated administrator has a current administrator certificate #6039601735 and expires on 10/16/2025.

The fire extinguishers, located throughout the facility was serviced by the Local Extinguisher company, Assured on 01/22/2025. Carbon Monoxide and fire alarms were present and in good repair.

Common areas for resident use were toured. Furniture and furnishings were observed to be present and in compliance.

A tour of the bathrooms was conducted. Hot water temperatures were taken to ensure that the hot water being dispensed was within the allowed range of 105-120 degrees at this time.

Resident bedrooms were toured. Furniture and furnishing were observed to be present and in good condition. A tour of a staff bedroom was also conducted.

A linen closet was located in the hallway. LPA observed a sufficient amount of linens at this time.