Facility Evaluation Report

On 05/13/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted a continuation unannounced Required – 1 Year Inspection to the above-named facility Caregiver, Nicanor Santos. The purpose of the visit was explained, and the LPA was allowed entry to the facility.

This facility is licensed to serve 6 nonambulatory adults ages 60 and above, of which 6 may be on hospice.

A total of 5 residents are currently residing in this facility.

The following was observed on 05/12/2026:

Facility Layout: does not match the facility sketch that was submitted to the department. The facility has two additional staff rooms in the garage. The facility is a one-story house located on a residential street. The home consists of 6 resident bedrooms; 4 full bathrooms; 2 staff bedrooms; garage/laundry room; great room which includes the kitchen area, dining room area, living room area; and an outdoor patio area.

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