Facility Evaluation Report

On 6/13/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Teresa Guanlao /Licensee. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (6) can be bedridden. The facility has an approved hospice waiver for (2). Fenced pool on premises.

The facility is a single-story structure located in a residential neighborhood. It consists of (4) bedrooms, (2-1/2) full bathrooms, shaded back yard, front yard, laundry room and a detached 2 car garage and a pool in the backyard.

LPA Iniguez and the facility staff toured the physical plant. There is a gated pool in the backyard that was securely locked, no obstructions on the premises. LPA inspected a total of (4) bedrooms and (2) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The room temperature ranged from 76°F to 78°F.

The evaluation Report continues on the next page, LIC 809-C , providing further details of the inspection findings.