Facility Evaluation Report
On 4/14/25 an unannounced annual visit was conducted by Licensing Program Analyst (LPA) Perchui Milena Khurshudyan. Upon arrival, LPA met with the Caregiver Josephine Espiritu, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. Shortly after the Administrator, Jeffrey Savella arrived and helped with staff/residents’ files and medications.
During today's visit, LPA conducted a physical plant walk through, at approximately 9:45am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22.
The following was observed: The facility is a single-story home and is licensed for capacity of six (6) residents, of which six (6) may be Non-Ambulatory and of which fire clearance for one (1) Bedridden. Facility also has a hospice waiver for six (6) residents. There are six (6) bedrooms, of which five (5) bedrooms are designated for residents’ use and one (1) bedroom #1 is designated for staff use only. All bedrooms observed to be appropriately furnished and have appropriate lighting. There are four (4) bathrooms in the facility of which three (3) are designated for residents’ use and one (1) for staff use. LPA observed bathrooms have soap, paper towels and hand washing signs. The hot water temperature measured at 10:10am to be 109°F. Extra towels and linens were readily available in the linen closet located in the hallway next to the entrance door. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. LPA observed facility alarms were present on all exit doors and all of the signals were functional.
SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 10:55am they were tested and observed to be operational. The facility has two (2) fire extinguishers that were last purchased on 2/13/2025.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction