Facility Evaluation Report

On 05/17/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Caregiver, Jesus Marie Quibote. The purpose of the visit was explained and the LPA was allowed entry to the facility.

The facility is licensed to operate for (1) non-ambulatory and cleared for (5) bedridden elderly residents ages 60 and above. The facility is approved for (6) hospice residents.

Facility Layout: The facility is a single-story house located in a main street. It consists of the following: 5 resident bedrooms; 2 common full bathrooms; 1 staff bedroom; 1 great room which consist of a living room area, dining room area, and kitchen area; 1 attached garage with a laundry area; and a backyard outside patio area.

Outside Grounds: were toured no bodies of water were observed, walkways around the home were not cleared of hazards (pictures were taken).