Facility Evaluation Report

Pendleton House, Sun Valley04/08/2025Licence 197610354

Capacity6
Census6
Date signed04/15/2025 10:41:10 AM
Name of licensing program analystLeizl De La Cerra
Name of licensing program managerNaira Margaryan
The inspector’s account

On 04/08/2025, Licensing Program Analyst (LPA) de la Cerra arrived at the facility at 10:30am to conduct an unannounced annual inspection. LPA met with the facility administrator and LPA informed administrator the purpose of the visit.

At approximately 11:00am LPA and administrator toured the facility and the following was observed. The facility is a single-story building that consist of five (5) bedrooms and two (2) bathrooms. LPA observed one (1) fully charged fire extinguisher. LPA observed the required facility postings in the common area. The facility provides a telephone for clients to use and LPA observed the phone to be operational.

LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Administrator tested the dual smoke/carbon monoxide detector @11:50am and was observed to be operational.

Bedrooms: There is one (1) bedroom for staff use and four (4) bedrooms designated for residents to use. Resident rooms were observed to have sufficient lighting. All bedrooms are furnished with a night stand, a chair, a lamp, a closet and a bed with clean bedding and linens.

Bathrooms: LPA observed two (2) bathrooms that are in good repair. The hot water temperature measured between 106°- 109°F. LPA observed the appropriate grab bars by the toilet and in the shower area. LPA observed the appropriate non-skid mats in each bathroom.

Common Areas : The living room appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction