Facility Evaluation Report
Capacity6
Census3
Date signed11/20/2024 04:00:00 PM
On 11/20/2024, 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 Administrator, Bien Cadungog. CCLD staff explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection.
The facility is licensed to serve 6 adults ages 60 and above. All bedrooms are cleared for bedridden residents. The facility has a waiver for a maximum 1 resident at a time.
The facility has Annual Licensing Fees due on 12/18/2024 of $495.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction