Facility Evaluation Report

On 9/27/2024, Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced Pre-Licensing visit to this facility and met with the Licensee Rey Medel This is a new application and a fire clearance dated 8/27/2023 was received for four non-ambulatory residents. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6.

Today’s site visit consisted of LPA conducting the Comp III presentation at 9:15 until 9:35 am and touring the physical plant inside and outside from 9:45 am until 10:00 am.. LPA Spaeth observed the following:

Common Area – LPA observed the living room, dining room, and kitchen are combined. The living room area contains comfortable seating. The dining room area contained dining room table, chairs, and a locked cabinet to store resident and staff files. The kitchen area contained a seven day supply of non-perishable food and a two day supply of perishable foods. A locked kitchen cabinet contained resident medication containers and the first aid kit. The cabinet underneath the kitchen sink contained cleaning solutions and laundry detergent. There is a locked drawer for knives. A fire extinguisher is also located in the kitchen. A pantry is located in the kitchen and the washer/dryer.

Backyard - The back yard contained comfortable seating.

Bedrooms - There are four bedrooms which contained bed, linens, night stand, lamp, chest of drawers, and a chair.