Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 10:23AM. The LPA initially met with staff Eufrecina Tabuena. Licensee and facility Designees were contacted. Facility Designee arrived at 10:28AM, the Licensee Maricar Lee and other facility designee arrived shortly after the visit began. Entrance interview conducted.

The LPA, along with Facility Designee, toured the physical plant areas inside and outside at 10:45AM to ensure there are no health and safety hazards and the facility is in compliance with Title 22 regulation. The following was observed:

Fire extinguisher was observed to be fully charged and last serviced 07/17/2023. Hardwired combination carbon monoxide and smoke detectors and fire door were tested at 02:15PM and all were functional at the time of the visit.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway.

OUTDOOR SPACE: The backyard has a covered outdoor area equipped with furniture for resident use. There were 2 (two) water fountains noted, neither of which were running, but both did contain some standing water. Facility designee noted water had accumulated during the recent rains. Licensee drained/removed water from both fountains during today's visit. At 10:45M and 10:49AM, respectively, both outdoor gates were observed to not fully open and not self-close nor self-latch. The garage was observed locked and contained locked storage cabinet for laundry supplies and separate food supply, as well as laundry area, and extra storage.