Facility Evaluation Report
On 7/07/2026, Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced annual inspection. Upon arrival LPA met with Direct support Professional (DSP) Aileen Ayson. Staff contacted the Administrator and LPA explained the reason for the visit.
The facility serves age range of 60 and over. Fire clearance approved for six (6) where one(1) can be non-ambulatory and one (1) can be bedridden in room #3. Licensed subject to terms and condition for hospice waiver approved for four (4) hospice residents. Dementia Plan submitted.
The facility is a single-story home: 3 bedrooms, 2 bathrooms, dining room, living room, kitchen, laundry room, nook, backyard, and an attached garage. Administrator certificate expires 5/15/2027. Emergency disaster drill last conducted 5/3/2026. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (3) staff files, (6) resident files, medications, and medication administration records for (6) residents.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction