Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA met with Administrator Nicole Lomeli and explained the reason for the visit. This is a social rehabilitation facility which houses clients typically for a maximum of 30 days.

Record Review : A review of facility files was initiated. The LPA observed documentation of Infection Control, Disaster prevention, and last fire/disaster drill (conducted on 10/16/25). The LPA obtained Client Roster, Staff Roster, and Insurance Liability. The LPA reviewed five (5) Client and five (5) staff Files. All documents reviewed appeared complete and current.

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. The carbon monoxide, smoke alarms were tested and operable during today's visit. The fire extinguishers were fully charges and last inspected on 03/12/2025.

KITCHEN: The kitchen was clean and appliances all appeared operable. The facility has a sufficient supply of perishable and non-perishable food. The kitchen remains locked if staff are not inside and knives are kept in a locked drawer in the kitchen. Cleaning supplies are kept in a locked maintenance closet. The hot water measured 115.1*F.

BEDROOMS: The LPA observed eight double-occupancy rooms which were appropriately furnished, clean and had sufficient lighting.

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