Facility Evaluation Report

Nancy Cazares Home, Fremont06/20/2025Licence 011440412

Capacity4
Census3
Date signed06/20/2025 12:25:10 PM
Name of licensing program analystPatricia Manalo
Name of licensing program managerYvonne Flores-Larios
The inspector’s account

On 06/20/2025 at 9:40 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Nancy Cazares, and explained the purpose of the visit. Administrator, Mia Moe, came shortly after. Administrator certificate is current.

LPA toured the facility including inside and out but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 2 bedrooms are occupied by the clients and 2 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 73 Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 119.4 degrees Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene's was available for clients. There is a minimum of one week supply of nonperishable and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/21/2025. Emergency Disaster Drill was last posted on 04/01/2025. First aid kit was observed to be complete.

At 10:33 AM, 3 of clients’ records were reviewed. At 10:59 AM, 2 staff records were reviewed, and 2 of 2 have current first aid training and 2 of 2 associated to the facility. At 11:15 AM, LPA reviewed client's P&I money with log. At 11:30 AM, LPA reviewed a sample of client's medications.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction