Facility Evaluation Report
Capacity15
Census9
Date signed11/19/2025 10:26:31 AM
Name of licensing program analystDavid Doidge
Name of licensing program managerBennett Fong
On 11/19/2025 at 09:10 AM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct a health and safety check. LPAs met with Administrator Ferdinand Gutierrez and explained the purpose of the visit.
LPAs toured the facility including but not limited to bedrooms, bathrooms, common area, kitchen, and outdoor area. LPAs inspected the kitchen and pantry as well as refrigerators and freezers.
LPA reviewed the facility’s LIC500 to confirm there is enough staff on duty to provide coverage for residents.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction