Facility Evaluation Report

On 08/24/2024 at around 10:30 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with House Manager Gavina Fuentes. LPA explained the purpose of the visit and was accompanied by a staff inside and outside the facility during this inspection.

This facility is licensed to serve 6 non-ambulatory residents ages 60 and above, of which 1 maybe bedridden, and 4 maybe on hospice.

A total of 6 residents are currently residing in this facility.

The facility is a one-story house located in a residential street. The home consists of 4 resident bedrooms, 1 staff bedroom, receiving room/kitchen/dining/living room area, 1 attached garage, and 1 backyard patio area with shaded seating.