Facility Evaluation Report
On 09/25/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff . The Area Manager/Administrator Irene Formentera arrived later.
The facility is licensed to serve six (6) non-ambulatory residents, in which six (6) may be bedridden. It also has a hospice waiver for four (4) residents. The facility currently has four (4) residents receiving hospice care and one (1) resident receiving home health services. Annual fees are current.
The facility is a single-story structure located in a residential neighborhood. The facility consists of a foyer, kitchen, dining area, living room, fireplace, office area, laundry room, six (6) resident bedrooms, four and a half (4.5) bathrooms, attached garage, and a covered front patio. The facility is clean, sanitary, and in good repair.
The 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 home were clear of hazards. Continue to LIC809-C.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction