Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Required 1-Year Annual Inspection on 02/03/2026. LPA met with Jessica Hernandez, who is the caregiver/Licensee/Administrator. There were two (2) staff and five (5) residents at the time of inspection.

Facility was found to be clean and exits were unobstructed. There are 2 bathrooms that were clean, sanitary and appropriately furnished with non-slip mats, shower chairs, soap and paper towels. The kitchen was clean and well-organized. There was an ample supply of perishable and non-perishable food as required as per Title 22. Sharps were kept in a locked cupboard in the kitchen. Soaps and cleaning supplies were stored in a locked cupboard under the kitchen sink, and in the locked laundry room. The living room provided a nice seating area with a large television and lounge chairs for residents to elevate their legs. Bedrooms were furnished as per regulation with additional homey touches. There were plenty of extra linens. The office area includes a locked cabinet for medications and resident records. The facility grounds include a covered patio with seating. Smoke detectors and carbon monoxide detectors were tested and operational. Facility's last fire drill was held on 11/01/2026. The fire extinguisher was purchased on 04/01/2025 and was fully charged. The water temperature was 116.6 degrees F which is within regulation. There was a sufficient amount of cleaning supplies and hygiene products available. LPA observed adequate emergency food and water supply. Toxins secured in the garage, which is locked. All exterior doors have operational auditory alarms.

LPA discussed hospice training and updating the Needs and Services Plans with Licensee and Administrator/Caregiver.

LPA reviewed five (5) resident records and 2 staff files and found them to be complete.