Facility Evaluation Report
On 11/20/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above, using the full CARE tool. LPA met with Administrator, Edilberto Bernardino, and the purpose of today’s visit was explained. The facility is licensed to serve 6 non-ambulatory residents aged 60 and above. The facility has an approved hospice waiver for 6 residents. Currently there are five (5) residents residing in the facility.
Physical Plant/Structure The facility is a two-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, two (2) resident bathrooms, living room, dining area, kitchen, detached garage. The second floor consists of an office area, staff rest/break room, and bathroom. In the backyard LPA observed two (2) sheds used for storage, a shaded patio with table and chairs available for resident use. LPA observed walkways outside the facility to be clean, clear, and free of debris, hazards, and obstructions. The gate on the side of the facility opens easily from the inside to exit. All ramps have secured safety handrails. LPA did not observe any bodies of water on the premises.
Bedrooms LPA inspected all resident rooms and observed them to be clean and in good repair. All bedrooms had the required furniture including a bed(s), dresser(s), nightstand, chair(s), and ample storage space for resident’s personal belongings. LPA observed the residents’ beds have the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of lines and comforter stocked at the time of visit and were observed in good repair. LPA observed all resident bedrooms had ample lighting.
Bathrooms All bathrooms were found to be within Title 22 regulation and were observed clean and operational. LPA observed the shower has a nonskid mat, shower chair, and secure safety handrails. LPA observed an ample supply of towels in good repair. LPA observed baskets and storage space for residents’6
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction