Facility Evaluation Report

Licensing Program Analysts (LPAs) Maja Jensen and Michael Bilger arrived unannounced to conducted a Pre-Licensing Inspection of the facility to ensure compliance with Title 22 regulations. LPAs Michael Bilger and Maja Jensen met with Jessica Ruiz and Randy Woods who assisted LPAs in today’s inspection. LPAs explained the purpose of the visit. Upon arrival, LPAs confirmed there are no active COVID cases.

Facility has a fire clearance for 15 ambulatory and 0 non-ambulatory residents. Administrator, Randy Woods and Jessica Ruiz will be the Administrators of this facility. The facility administrator’s certificate #:020845735 and Expires: 11/1/22 for Jessica Ruiz and the facility administrator’s certificate #:6017384735 and Expires: 4/6/22 for Randy Woods.

LPAs inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen.

The outdoors of the facility and fire routes were clear of obstructions. The indoors of the facility was observed to be clean and with adequate lighting and furniture. The fire extinguishers were last serviced in August of 2021 and are current. The physical plant temperature was 75 degrees and the water temperature was 110.1 degrees. Night lights were observed throughout. There is no garage on the property.