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 10:20 a.m. Upon arrival, LPA Mosley was greeted by staff and called the Administrator to inform them of the visit. The Administrator arrived shortly after. The LPA met with Administrator Erlinda Gonzales, and Madelaine Gonzales, Assistant Administrator and explained the reason for the visit. 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 facility is a single-story home located in a residential neighborhood.

INTERVIEWS : Starting at 10:30 a.m. and throughout the visit two (2) staff including the Assistant Administrator and three (3) resident interviews were conducted during the inspection. One (1) resident was out in the community and unable to be interviewed during the time of the inspection. Staff interviews revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit.

COMMON AREAS: This includes the family 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 1:09 p.m., hardwire combination of smoke / carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 12/18/2025. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 04/25/2026 and are conducted quarterly. Activities were observed in the common areas. There is a functioning telephone on the premises. Auditory alarms at the entrances and exits were observed and functional at the time of the visit. Report Continued on LIC 809C PAGE 2...