Facility Evaluation Report

On 05/16/2026, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced annual inspection visit and met with the Administrator, Irene Formentera. The purpose of the visit was explained and the LPA was allowed entry to the facility.

This facility is licensed to serve 6 bedridden adults ages 60 and above. 5 bedrooms are cleared for bedridden residents. The facility is approved to admit or retain 2 residents on hospice.

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

The LIC999 Facility Sketch (Floor Plan) that is on file in El Segundo Regional Office depicts the following: a one-story house with 5 resident bedrooms, 1 staff room, 3 bathrooms, 1 attached garage, and a great room with kitchen and living room.

Facility Layout (LPA Observations): is a one-story house located in a residential street. The home consists of 6 resident bedrooms (resident bedroom 6 is designated as the staff in the LIC999); 3 full bathrooms; 1 staff room walls are not touching the ceiling (this room is not depicted on the LIC999); 1 great room which includes the kitchen area, dining table, and living room area; 1 attached garage; and 1 backyard patio area with shaded seating.

Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are no security bars or weapons on the premises.