Facility Evaluation Report

On 06/13/2024 at around 10:00 AM Licensing Program Analyst (LPA) Leandro conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA met with Administrator Alvin Banzuela.

On 03/01/2024 an application was submitted to CCLD, for Initial license for a Residential Care Elderly Facility to serve adults ages 66 and above. The facility was approved for a capacity of 8 people. There may be 6 non-ambulatory residents and 2 bedridden residents in this facility. The facility is a one-story house located on a residential street. The facility is composed of 4-bedrooms, 2-bathrooms, 1-office, 1-kitchen/common room area, 1-dining room, 1-backyard deck, 1-attached garage. LPA conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation.

There is a locked centralized storage area for resident medications.