Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA met with Cholly Sason and discussed the purpose of today’s visit. Tiffany Vander Poorten Administrator arrived shortly after.

The facility is a single-story home located in Glendora, licensed to serve (6) non-ambulatory residents age range 60 and over. The facility has an approved Dementia Care Plan and a Hospice Waiver approved for (6) residents. LPA obtained a copy of a current liability insurance coverage.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Operational Requirements: Facility is adhering to the operational requirements.

Physical Plant & Environment Safety: LPA toured facility grounds. Smoke detectors were observed throughout the facility. Carbon monoxide detector is located in the hallway, was tested and operable. Two (2) fire extinguishers were observed, one located near the kitchen/dining area, and one located inside the laundry room. Last fire drill was conducted on 01/07/26. Bedrooms have the required furniture. Extra, clean linens were observed in a hall closet. Bathrooms have non-skid surfaces and grab bars. Hot water temperature measured at 109.4°F and 1009.5°F in the hallway bathrooms.

Staffing : Facility is adhering to staffing requirements.