Facility Evaluation Report
On 04/08/2026, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff . The Area Manager Irene Formentera arrived later.
The facility is licensed to serve twelve (12) non-ambulatory residents age 60 and above. Four residents may be bedridden and rooms 1, 2, & 9 are cleared for bedridden. The facility has a hospice waiver for seven (7) residents. Annual Fees are current.
The facility is a single-story family home located in a residential neighborhood. It consists of an attached garage (includes laundry area), front office, nine resident bedrooms (#1 - #9), five bathrooms, dining area, and living room. A shaded area furnished with outdoor patio furniture, including tables and chairs, surrounding the perimeter. Area Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards.
Resident bedrooms had bed linens and closet/drawer space to accommodate each resident comfortably. Continue to LIC809-C.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction