Facility Evaluation Report

On 07/10/2026 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Program Manager, Gina Sosa explained reason for visit and was permitted entry into the facility. District Manager, Jose Marquez arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on clients in care.

Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational on a system. Fire extinguisher last serviced 04/22/26. Last fire drill on conducted on 06/12/26. Activity rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered area. No deficiencies cited during todays visit.

LPA requested the following documents to be submitted to CCL by 07/17/2026: current copy of Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and current copy of surety bond in order to update the facility file.

Exit interview was conducted with Program Manager, Gina and District Manager, Jose. A copy of this report was discussed and provided.