Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit today. Upon arrival, the LPA was greeted by staff who then contacted the Administrator telephonically. The Administrator, Ivy Sudjati arrived during the inspection and the reason for the visit was explained. Entrance interview conducted.

Beginning at 10:03 a.m., the LPA along with staff 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:

Kitchen: The LPA inspected the kitchen/food service area at approximately 10:05 a.m. Knives and sharps were observed in a box locked under the kitchen sink. Cleaning supplies were observed locked and inaccessible under the kitchen sink at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The LPA observed an adequate amount of emergency food and water. At 10:08 a.m., the hot water temperature was measured in the kitchen sink at it measured at 115 degrees Fahrenheit.

Common Areas: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed several fire extinguishers to be fully charged with a charge date of 03/23/2026. Required postings were observed throughout the common space. There is a working telephone on premises. The LPA observed cameras in the common areas. First aid kit was observed to be complete. No hazards/obstructions observed inside or out.