Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Business Manager Daisy Mendoza and Program Supervisor Celeste Chavez . LPA disclosed the purpose of the inspection and was granted entry into the facility.

A tour of the facility was conducted with Program Supervisor. The facility was free of passageway obstructions inside and outside. Water measured at 115.8 F.

LPA observed 10 activity rooms. During the tour, clients were eating lunch.

Kitchen was toured. Cleaning supplies were locked in staff break room. Smoke detectors and carbon monoxide were operating. Facility has a pull station fire alarm. Fire extinguishers were charged and had service dates of 07/30/25 during visit. Fire drill was last completed on 07/25 and is conducted monthly

Client and staff records were reviewed. Current first aid and CPR were on file for staff. C8 did not have a signed admissions agreement and all admissions agreements did not have a basic rate. C3 and C6 did not have LIC 602 in their file.

An exit interview was conducted with the Business Manager and a copy of this report with plans of correction and appeal rights was provided.