Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 09:25AM. The LPA was greeted by staff and Administrator was contacted via telephone. Administrator Jovy Sarreal arrived shortly after LPA, and the Licensee Gilliana Sherman arrived thereafter. LPA explained the reason for the visit. Entrance interview conducted.

Beginning at 10:44AM, the LPA and 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:

LPA observed facility fire extinguisher to be fully charged and last serviced 06/27/2024. Hardwired combination smoke and carbon monoxide detectors were tested at 02:08PM and were functional at the time of the visit. No fire clearance concerns were observed.

KITCHEN: Kitchen knives are stored locked and inaccessible in a drawer to the right of the stove. The supply of dishes is adequate. Appliances in the kitchen were clean and functional . The facility had a sufficient supply of two-day perishable and seven-day nonperishable food. Cleaning supplies were observed in a locked cabinet under the kitchen sink.

COMMON AREAS/GARAGE: The facility is a single-story structure with a large sunroom, dining room and living room. The LPA did not observe any obstructions or hazards. At the time of the visit, the living room, sunroom and dining room furniture were observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature throughout the visit. Linen closet and locked cabinet containing cleaning supplies and hygiene items was observed in the main hallway locked and inaccessible. The garage is located adjacent to the living room . Garage was observed to be locked and contained an extra refrigerator/freezer, emergency food and water, laundry area, and additional storage. Report Continued on LIC 809-C