Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced case management visit. LPA met with On-Call Administrator Clemencia Bousheri and the reason for the visit was explained. The purpose of the visit was to follow up on items addressed during the Noncompliance Conference (NCC) meeting held on October 1, 2025.

The facility is licensed to serve age range 60 and over. Six (6) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver for two (2). The facility is operating within the scope of their license with six (6) residents, of which one (1) is receiving hospice care. The facility has dementia care for residents.

The facility is a single-story home located in a residential area of Glendora. The front yard has secured perimeters in the form of a motorized gate to prevent residents from leaving the property. The home consists of five (5) resident bedrooms, 2 bathrooms, a kitchen, dining area, living room, office, shaded outdoor patio, and attached garage.

LPA toured the facility and observed the following: The facility was observed to be clean and free of debris and obstructions. Water temperature was tested in the resident bathroom and measured at 117.1°F, which is within the required 105°F-120°F. Resident bedrooms were observed to contain the required furniture, linens and lighting. Linens were observed to be in good repair.