Facility Evaluation Report
Capacity6
Census5
Date signed12/26/2023 02:05:53 PM
On 12/26/23 at 12:30 PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to complete the 1-Year Annual Required inspection. LPA met with Administrator, Alex Juntilla and explained the purpose of the visit. The facility’s fire clearance was approved for 6 residents.
Emergency Disaster Plan was last posted on 12/26/23. Emergency disaster drill was last conducted on 10/06/23.
LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications.
No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction