Facility Evaluation Report
On 10/02/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above using the full CAREs Tool. LPA met with Administrator Angelyn De Leon, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) non-ambulatory residents ages 60 and above, of which one (1) may be bedridden with an approved hospice waiver for six (6). The facility currently has five (5) residents, and one (1) is receiving hospice services.
Structure/Physical Plant The facility is a single-story structure in a residential neighborhood. The facility consists of four (4) bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached garage, front and backyard. The backyard has a shaded patio with a table, chairs and activities. The front and backyard are landscaped and in good repair. All ramps have secured safety handrails. All walkways outside were observed clean, clear, and free of obstructions, debris, and hazards. There are no bodies of water on the premises.
Bedrooms LPA inspected all residents’ bedrooms. LPA observed all bedrooms have the required furniture including bed(s), dresser(s), nightstand(s) with a lamp, chair(s), and ample storage space for residents use. All beds had the required linens, including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of bed linens stored in a cabinet in the hallway and an additional supply in the residents’ closets. All bedrooms were observed to be in good repair.
Bathrooms LPA inspected all resident bathrooms. All bathrooms were found to be within Title 22 regulations. All bathrooms were observed to be operable. The showers were observed clean, and clear of mold or mildew. All showers have secured safety handrails, non-skid mats, and shower chairs available. The water temperature measured 115.6-degrees and 116.1-degrees Fahrenheit. LPA observed hygiene products secured in a cabinet under the sink and are inaccessible to residents. An additional supply was
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction