Facility Evaluation Report

On 09/13/2024 at around 8:00 am, Licensing Program Analyst (LPA) Hollie Enriquez conducted an unannounced required annual inspection to the above facility. LPA was initially met by Caregiver Maria Gonzalez and later joined by Administrator Ana Ramos. LPA explained the purpose of today’s visit. Facility is licensed to serve 6 non- ambulatory residents aged 60 and above of which one (1) bedridden resident may be in bedroom #B. The Facility has an approved hospice waiver for 1 resident. None of the residents are diagnosed with dementia or hospice at this time. The facility does not handle any of the residents’ money. The facility license fees are paid to current.

There is currently one (1) resident in care at the facility. The Culver City Fire Department conducted the most recent fire drill and inspection on 07/18/24. Caregiver reported that the most recent fire and earthquake drills conducted with staff and residents only was on 09/13/24. Fire extinguishers are fully charged and last serviced 08/08/2024.

The home is a single-story home in a residential neighborhood consisting of: five (5) bedrooms, four (4) bathroom, office area, den, living room, two (2) kitchens and a laundry room, activity areas and a detached garage. There is a shaded patio with table, umbrella and chairs surrounded a maintained garden area in the backyard.