Facility Evaluation Report
At 3:20p.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted unannounced case management Annual Continuation visit to the facility. LPA met with Administrator and explained the reason for the visit. LPA informed Administrator that this visit was conducted to complete Required 1 year inspection initiated on 04/28/2025.
During this visit at about 3:45p.m., LPA and Administrator toured the physical plant areas inside and out. At approximately 4:00p.m. LPA reviewed all five (05) residents records and they were complete at the time of this visit. LPA reviewed four (04) staff files and they had criminal record clearance and Cardiopulmonary Resuscitation (CPR) certificate at the time of this visit. All required documents were appropriately signed and dated. LPA also reviewed residents medication. At approximately 4:45p.m, LPA interviewed all five (05) residents in care.
No immediate health and safety hazard is noted during this visit.
An exit interview was conducted. A copy of this report was provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction