Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was met by Caregiver Eva Tancinco and explained the purpose of the visit. Sub-Administrator Iren Creighton was advised via phone call.

The facility is licensed to serve residents 60 and above, fire cleared for six (6) non-ambulatory and approved to accept and retain three (3) residents under hospice care.

The facility is a single-story home located in a residential area of San Dimas. The home consists of living room, dining area kitchen, laundry area, one (1) staff room, four (4) resident rooms, two (2) bathrooms, front yard, back yard and attached garage.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstructions.

Smoke detectors were observed throughout the facility and are operable. There is a carbon monoxide detector located in the hallway of the home. There is a fire extinguisher located near the kitchen which is charged and last serviced 06/2025. Emergency drills conducted quarterly, last drill was 10/05/25.