Facility Evaluation Report
Capacity6
Census6
Date signed09/04/2025 04:47:10 PM
Name of licensing program analystLuisa Fontanilla
Name of licensing program managerYvonne Flores-Larios
LPA L. Fontanilla arrived unannounced to conduct case management legal/Non-compliance visit and met with Licensee/Administrator Soledad Bacani.
During the visit, the facility was issued a deficiency and civil penalty for having Resident 1 (R1) who is bedridden per Physician's Report and LPA observation stay in a non-ambulatory room. The facility has an approved one bedridden fire clearance for Room #2 only. R1 is occupying Room #4.
Civil penalty of $500 for fire clearance violation is issued today.
Exit interview was conducted and Appeal Rights was provided to Bacani.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction