Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 10:30 A.M. LPA was greeted by the administrator, Estrella (Lillian) Alarcon. Program manager, Allen Alarcon joined the visit at 11:15 A.M. LPA explained the reason for the visit. Entrance interview conducted.

Beginning at 11:00 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:

Hardwired combination smoke and carbon monoxide detectors were tested at 12:45 P.M. and were functional at the time of the visit. Fire extinguisher was observed to be fully charged and purchased on 11/06/2025. This facility doesn’t have a designated staff room and provides care on a 24-hours basis. LPA explained to the administrator that the use of surveillance cameras or baby monitors does not substitute for awake or on-duty staff during nighttime hours.

BEDROOMS: The facility consists of six (6) bedrooms. Each bedroom has its own bathroom; however, bathroom located in Room #6 will be shared visitors . The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. During the inspection, LPA observed that the single ambulatory-designated room (room #6) was occupied by Resident #1(R1), who is currently non-ambulatory.