Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 10/14/2025. The LPA met with Administrator Rafael Silva and explained the reason for the visit.

The LPA conducted a tour of the physical plant with Administrator Rafael Silva to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a double story residence, with the second story only for staff use. The LPA observed fire extinguishers throughout the facility, which were fully charged and last serviced 01/23/2025. The smoke alarms and carbon monoxide detectors were tested and functioned properly.

KITCHEN: The kitchen is left locked so residents cannot enter. The kitchen was clean and the appliances appeared to be functional The facility's main pantry is air conditioned and located outside. The pantry had non-perishable foods, perishable foods, and three large freezers with perishable foods. Food was also stored in the kitchen and another pantry inside the facility which had more non-perishable food and emergency water.

RESIDENT ROOMS: There are currently sixteen rooms available for residents of which ten (10) are being used by residents; these rooms can be shared or can be single rooms. There are two (2) rooms being used as model rooms and one (1) as an activity room. There are six rooms upstairs which are used as office space, staff rooms, and storage. The upstairs rooms can only be accessed by stairs so they are not in use for residents at this time. Rooms housing residents appeared to be clean with appropriate furnishings, bedding and sufficient lighting, however floors needed to be swept. Report will continue on LIC809-C, 2nd page.