Facility Evaluation Report

At 10:45 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by Administrator Graciela Castillo and informed them of the reason for the visit.

At 11:00 a.m. the LPA conducted a tour of the physical plant with the Administrator 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 single-story residence that consists of three (3) resident bedrooms, and two (2) restrooms. The LPA observed one (1) fire extinguisher which was fully charged and purchased on 01/28/2025. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings in the hallway near the entrance area.

Kitchen : The facility has at least seven (7) day supply of non-perishable food and two (2) days perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives, sharps, and cleaning supplies were observed under the sink locked and inaccessible.

Bedrooms: Each bedroom is equipped with clean mattresses, pillows, and bedding. There is a closet in the hallway with a sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting.

Bathrooms: The LPA observed both bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. At 11:07 a.m. water temperature in the common restroom was measured at 110.3 degrees Fahrenheit and at 114.8 degrees Fahrenheit in the residents room bathroom.

Report will continue on LIC9099-C, 2nd page.