Senior Care Records.

Facility Evaluation Report

Pepperwood Villa, Long Beach07/08/2024Licence 198320487

Capacity6
Census0
Date signed07/08/2024 12:11:46 PM
The inspector’s account

On 07/08/2024 Licensing Program Analyst (LPA) Mario Leon conducted an announced visit to this home. LPA was met by Jose Umana, Administrator and LPA explained the purpose of today’s prelicensing inspection visit.

An application was submitted to CCLD on 04/15/2024 in the initial license application for a Residential Facility for the Elderly, ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which six may be (6) non-ambulatory and zero (0) bedridden residents.

The home is a one-story, residential unit, without any garage and is located in a residential neighborhood. The home consists of five (5) bedrooms, two (2) bathrooms, one (1) Detached Accessory Dwelling Unit (ADU) for staff with one (1) staff toilet. The home includes a living, dining, kitchen area which includes a laundry area. The living room did not include a fireplace. The living area included recliner seating. The kitchen has a refrigerator and stove. The rear exterior is fenced throughout. The passageways, walkways, and steps are free from obstructions.

The facility has five (5) bedrooms for residents. This includes all five (5) bedrooms for non-ambulatory residents. All rooms include a twin-size bed, one (1) chair, one (1) night stand, and one (1) table lamp. All bedrooms are equipped with a ceiling light. Four (4) rooms include a dresser and closet, one (1) shared room is fitted with a stand-alone closet, which complies with the requirement of 8 cubic feet of personal storage space. The rooms also include wall night lights.

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