Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual inspection. LPA met with administrator Johnna Udden and explained the reason for the visit.

The LPA and Administrator conducted a physical plant tour inside and outside to ensure there were not health and safety hazards and the facility is in compliance with Title 22 Regulations. The smoke detectors and carbon monoxide were tested and functioned properly. The fire extinguisher appeared fully charged and was recently purchased in January 08, 2026.

Common Areas : Common seating area and dining room furniture were observed to be in good condition.

Kitchen : Knives are stored in a locked cabinet drawer. Cleaning supplies were stored in a locked cabinet under the sink. Appliances were in operable condition. The facility has enough supply of perishable and non-perishable food.

Bedrooms: There are four bedrooms for residents. Two are two shared rooms and two are private. All bedrooms were appropriately furnished, had sufficient lighting and clean linens.

Bathrooms : There is one bathroom in the hallway and one bathroom for private use in the shared main bedroom. Bathrooms were clean, shower area was in clean condition with grab bars and a non-skid mat available. Paper towels and soap were available for hand washing. The hot water temperature was tested in the private bathrooms and measured 107.4*F.

Report will continue on LIC809-C, 2nd page.