Senior Care Records.

Facility Evaluation Report

Country Club Villa, Long Beach07/16/2025Licence 197803185

Capacity6
Census6
Date signed07/16/2025 11:57:49 AM
Name of licensing program analystDeborah Lee
Name of licensing program managerEva M Alvarez
The inspector’s account

On July 16, 2025, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit using the CARE Inspection Tool. LPA was met by Wilma Iglesias Assistant Administrator and the purpose of today's visit was explained. The facility is licensed to serve 6 elderly residents, all of which (6) may be non-ambulatory with a hospice waiver approved for two (2) aged 60+ years. The facility currently has 2 resident on hospice.

The facility is a 1-story structure with 5 bedrooms, 4 bathrooms, living room, kitchen and inside and outside patio.

LPA inspected all 5 bedrooms; the mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked .

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction