Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit today at 09:05 a.m. Upon arrival, there were three (3) staff and four (4) residents present. The LPA was greeted by staff who then contacted the Administrator telephonically. The Administrator, Oskar Arcenas arrived at approximately 10:05 a.m. and the reason for the visit was explained. Entrance interview conducted.

Infection Control / Emergency Disaster Planning: The LPA reviewed the facility's infection control plan at approximately 09:15 a.m. The facility’s policies and procedures as they pertain to infection control are adequate. The LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; last drill conducted on 01/04/2026.

Beginning at 10:15 a.m., 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:

Kitchen: The LPA inspected the kitchen/food service area at approximately 10:20 a.m. Knives and sharps were observed in a kitchen drawer locked and inaccessible. Cleaning supplies were observed locked and inaccessible under the kitchen sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates.