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 and informed them of the visit. The Administrator, Victor Hernandez arrived at approximately 09:50am and the reason for the visit was explained. Entrance interview conducted.

Beginning at 09:55am, the LPA along with the Administrator 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:

Bedrooms: There are four (4) bedrooms for resident use. Two (2) bedrooms are designated as private / single bedrooms, and the other two (2) bedroom are designated as shared / double occupancy. Bedrooms were observed to be furnished appropriately and had sufficient lighting. Additional clean linens and towels were available for residents in care. LPA observed a staff bedroom on premises inaccessible to residents at the time of the visit.

Restrooms: There are two (2) restrooms for resident use. Bathrooms were clean and sanitary and in operating condition with non-skid surfaces and grab bars. The bathrooms were sufficiently stocked with supplies and paper towels.