Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 09:20 AM. LPA met with facility staff who contacted the facility Co-administrator Michelle Racan and the reason for the visit was explained. Licensee Representatives Bernadette Abiera and Janette Villapando were present for the visit, however they left before the visit ended. Administrator Allan Racan arrived at the facility at approximately 10:30 a.m. Entrance interview conducted and reason for the visit was explained to staff and Administrators.

The LPA, along with co-administrator Bernadette Abiera toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secure cabinet located under the kitchen sink to contain cleaning supplies and knives. LPA observed an additional fire extinguisher mounted in the kitchen to be fully charged and serviced on 08/15/2025.

COMMON AREAS : This includes the living room, hallway, and dining room. LPA observed all common areas be clean and properly furnished at the time of the visit. The dining room contains a dining table with adequate seating for resident use. LPA observed the dining room to contain two (2) secured cabinets which contained resident medications and facility files. LPA observed the living room wall to contain all required postings. . Continued on LIC 809C, 2nd page.