Facility Evaluation Report
Capacity6
Census6
Date signed09/19/2024 03:46:48 PM
On 09/19/24 at 2:20PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced Health and Safety check to discuss hospice waiver requirements.
During the health and safety check, LPA observed a total of 4 staff members and 6 residents at the facility. At 2:40PM, LPA toured facility with administrator, including but not limited to bedrooms, kitchen, bathroom, and common areas. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date.
No deficiencies cited during the health and safety check.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction