Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 02:00 p.m. The LPA was greeted by staff, and explained the reason for the visit. Staff contacted the Administrator via telephone to inform them of the visit. Administrator Roberto Ramirez arrived shortly thereafter and was explained the reason for the visit.

At 2:20 p.m. the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Carbon monoxide and smoke alarms were tested and functioned properly. The fire extinguisher appeared fully charged and was last serviced on 1/6/2026.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit.

BEDROOMS: There are a total of four (4) resident bedrooms, of which two are shared and two (2) single occupancy, and one (1) staff bedroom. The resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

RESTROOMS: There are two restrooms for resident use. Restrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. Hot water temperature in resident restroom next to room #1 was within regulatory requirements (105*F-120*F); it was measured at 111.4*F.

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