Facility Evaluation Report

On 12/3/2025, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Anchie Reyes /Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults aged 60 and above, of which (2) can be non-ambulatory and (1) bedridden. The facility has an approved hospice waiver for (3). Currently the facility has (6) non-ambulatory residents.

The facility is a one-story residential home consists of (5) resident bedrooms, (2) resident 1 staff office and 1 staff room, living room, kitchen, dining area and laundry room and backyard with shaded area.

LPA Iniguez and the Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. LPA inspected a total of (5) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 113.5°F to 115.2°F.

The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings.