Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 9:20 A.M. When the LPA arrived, there were three (3) staff members and six (6) residents present. The LPA was greeted by Caregiver, Nikki Villanueva. LPA informed the reason for the visit. Caregiver contacted the Administrator by phone, Edna Dangiapo. At 9:55 A.M. Administrator arrived at the facility. Entrance Interview conducted.

Beginning at 9:57 A.M., the LPA, along with Administrator 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 following was observed:

Smoke detector was tested at 10:35 A.M. and carbon monoxide detector was tested at 10:10 A.M. and both were functional at the time of the visit. Fire extinguisher was observed to be fully charged and last serviced on 07/08/2024.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common area. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. The facility maintained a comfortable temperature of 73 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use whenever needed.