Facility Evaluation Report

On 08/29/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit. The purpose of the visit was explained, and the LPA was allowed entry to the facility.

This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 2 may be bedridden. The facility has a hospice waiver for 6 residents. Bedroom #3 is cleared for 1 bedridden client

There are currently 4 residents in the facility.

Today’s unannounced case management visit focused on physical facility plant.

Facility Layout: The facility is a two-story house located on a main street. The first floor consists of - 3 resident bedrooms; 2 full bathrooms; 1 great room which consists of a kitchen area, dining room area, office space, and living room area; 1 attached garage with a laundry area. The second floor consists of - 3 staff bedrooms and 1 full bathroom. Outside - There is a front yard and back yard patio area with shaded seating.

Outside Grounds: were toured no bodies of water were observed, there are no security bars or weapons on the premises.