Facility Evaluation Report

On 12/11/25 The Department of Social Services, Community Care Licensing Division (CCLD) staff conducted an unannounced annual inspection visit using the CARE Inspection Tool. CCLD staff was met by two (2) staff Hector DaLuz and Eleanor "Lea" DaLuz (S2-S3) and later by May Drapeau, Administrator (S1), and the purpose of the visit was explained. The facility is licensed for six residents, age 60 and over, of which five (5) may be non-ambulatory resident(s) along with one (1) bedridden resident. The facility has been approved for a hospice waiver for two (2) and are compliant under California code of regulation 87705 – Care of persons with Dementia. The current census is six (6) residents. Facility fees are up to date and liability insurance is active with an expiration date of 07/16/26.

The facility is a single-story structure located in a residential neighborhood and consists of the following: (5) resident bedrooms, (2.5) resident bathrooms, living room, dining room, kitchen, staff room, office area, attached garage which contains a washer and dryer / storage area and an extra refrigerator. Beds and bedding were properly fitted and LPA observed additional linens, stored in the hallway. There was ample storage for personal property and each room had a table and lamp. The facility also has a front and back yard with a shaded area with table and chairs. There are no weapons/ammunition stored on the premises and there are no bodies of water on-site. A supply of seven (7) day perishable and two (2) day non-perishable food was observed. Emergency Water supply is located in the garage. Toxins and knifes were observed to be stored and inaccessible to clients in care. Last fire drill was on 10/02/25 . Carbon monoxide and smoke detectors were observed and are operational as of 12/01/25, a landline and internet were observed in working condition. The facility (2) Fire Extinguishers were checked and found to be fully charged, maintained annually as of 06/20/25 . The stove does not light through its own knob, please see LIC9102TV.There have been zero (0) deficiencies cited during today's visit.

An exit interview was held with staff one, May Drapeau (S1), and a copy of this report has been provided.