Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Licensee Representative / staff, Martha Heredia arrived shortly after and the reason for the visit was explained. Entrance interview.

The facility is fire cleared for two non-ambulatory rooms (one shared and one private room) located on the first floor of the facility (total capacity of three (3) non-ambulatory residents). The Fire Clearance was approved on 05/01/2024.The LPA and Staff 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.

COMMON AREAS: This includes the living room and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 1:50 p.m., hardwire combination of smoke / carbon monoxide detectors and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 07/15/2025. The emergency exiting plans/sketch were not posted in every room, and LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted. The emergency telephone numbers were not posted, LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted. The LPA did not observed required postings such as emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted.