Facility Evaluation Report

An Annual visit was conducted by Licensing Program Analyst (LPA) K. McClurg. LPA met with Licensee/Administrator (L/A) Christine Sandoval This facility has no open bodies of water such as pools, spa, fountains, etc.

Physical Plant toured. Kitchen appeared to be clean & organized. Knives & cleaning products in separate locked areas making inaccessible to residents. Sufficient supply of perishable & nonperishable food on the premises. Dining & living room sufficiently furnished. Furnishings appeared to be in good repair. Sufficient lighting. Resident bedrooms appeared to be sufficiently furnished with items in good repair & adequate lighting. Linens on beds & additional supplies available as needed. Resident bathroom appeared & smelled to be clean with no unpleasant odors. Fixtures operational. Grab Interior passageways & exits observed to be clear with no obstructions, including exit door in each resident bedroom. Smoke & carbon dioxide detectors operational

Medications observed to be inaccessible to clients & organized. Medication Administration Records (MARs) & Centrally Stored Medication & Destruction Records (CSMDRs) documentation completed & maintained. Resident files maintained. Staff files maintained. Adult Residential Facility (ARF) Administrator Certificate # 7034037735 expires: 11/30/25 per 10/31/24 verification through Community Care Licensing Division (CCLD) website: Active Administrator Certificate Holders.

Exit interview conduced with L/A. Report provided.