Facility Evaluation Report
On 07/23/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced case management - other visit at this facility. LPA met with Staff who allowed for entry in this facility. LPA informed Staff the purpose of the visit is to conduct a case management - other visit in association with the noncompliance conference (NCC) with the Licensee on 11/24/2024. Administrator Assistant Rodolfo "Nino" Lozada and Angelique Gradney joined us later. The facility is licensed to serve six (6) non-ambulatory residents, of which one may be bedridden. The facility has a hospice waiver approved for six residents. Bedrooms #1, #2, and #4 are approved for non-ambulatory or bedridden residents.
During today's visit, LPA conducted a tour in the kitchen and in bedrooms #3 and #5. LPA reviewed medical assessment for Resident #1 and Resident #2. LPA reviewed records for Staff #1 and Staff #2.
No deficiencies were observed. An exit interview was conducted and a copy of this report was left with Angelique Gradney.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction