Facility Evaluation Report

On 01/04/2024, Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced pre-licensing visit to this facility and met with the Administrator and the business partner. This is a new application and a fire clearance dated 10/24/2023 was received for five (5) non-ambulatory residents and one (1) bedridden resident. The facility phone number is 661-418-0425..

The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 9:15 am until 10:20 am.

Today’s site visit consisted of LPA touring the physical plant inside and outside from 10:35 am until 11:10 am. LPA Spaeth observed the following:

Common Areas – The living room contained comfortable seating. The dining room table and chairs are located in the kitchen. The family room contained comfortable seating and games.

Kitchen - The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. A fire extinguisher is located in the kitchen. Appliances in the kitchen appeared to be functional. The knives and medications were locked in a medication cabinet which is stored on the kitchen counter. The pantry contained emergency food and water.

Backyard - The backyard contained comfortable seating. The side gate leading from the backyard to the front yard was not locked.