Facility Evaluation Report

On 10/24/24, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced at the facility and met with Alicia Contreras, House Manager. LPA Campbell stated the purpose of the visit to conduct an annual inspection. The facility is a one story building licensed to serve 6 residents. The census is currently 6. The facility sketch matches the facility floor plan found during the visit. There are four bedrooms and two bathrooms. The Administrator is Kelsy Ramos.and their Administrator Certificate number is 6053310740 and it expires on 9/8/2025. The facility displays a See Something Say Something sign on the facility notice board.

Upon entry, LPA Campbell observed a television that was playing and a resident sitting in the living room watching. All doors and window curtains were open. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility was observed to be free of odor and in good repair.

In the kitchen, LPA Campbell found enough perishable foods to last the residents two days and enough non-perishable foods to last one week. The refrigerator temperature was at 30 degrees Fahrenheit and the freezer was 0 degrees Fahrenheit. The facility thermostat is set at 75 which is within the required range of 68 and 85 degrees. The fire extinguisher was last inspected May 21, 2024 and the smoke alarm was tested successfully during the visit. Water was measured in the bathroom at 111 degrees Fahrenheit within the required range of 105 and 120 degrees.