Facility Evaluation Report

At 09:35 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA met with C0-Administrator Johnna Macanin and informed them of the reason for the visit.

At 09:45 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 two (2) private bedrooms and two (2) shared bedrooms. Bedroom #2 has direct access outside. The LPA observed fire extinguishers which were fully charged and purchased on 05/17/2025. 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 in locked cabinet.

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: There is two common restrooms in the hallway and one private restroom in bedroom #2 . The LPA observed bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. At 09:58 a.m. water temperature in the private restroom was measured at 111.2 degrees Fahrenheit and at 115.2 degrees Fahrenheit in one of the common bathrooms.

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