Facility Evaluation Report

On 07/20/2026, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator Assistant, Wilhelmina Iglesias. The purpose of the visit was explained, and the LPA was allowed entry to the facility.

This facility is licensed to serve 6 non-ambulatory adults ages 60 and above. The facility has an approved hospice waiver for 4 residents.

A total of 5 residents is currently residing in this facility.

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

Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are no security bars or weapons on the premises.

Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. There is fire extinguisher in the kitchen area, and it was last serviced on 01/13/2026.

Resident Bedrooms: 5 out of 5 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition.