Facility Evaluation Report

Licensing Program Analysts (LPAs) Valeria Conway and Martha Arroyo arrived at the facility at 9:15 A.M., for an unannounced required annual inspection. LPAs met with Executive Director, Amber Winterstein and discussed the reason for the visit. Entrance interview conducted.

Beginning at 10:30 A.M., the LPAs along with the ED, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a two-story and a ground floor building. The following was observed:

According to the maintenance director batteries in the smoke detectors are changed once a year. 5-Year fire sprinkler inspection was conducted by Johnson Controls Fire Protection on 02/25/2022, all deficiencies noted on report were repaired and/or corrected by 04/22/2022. No safety concerns were noted at that time. Several fire extinguishers throughout the building were observed to be fully charged and last serviced on 08/30/2024. At 11:21 A.M., carbon monoxide alarm was tested and properly functioned at the time of the visit.