Facility Evaluation Report
On 07/08/2026, Licensing Program Analyst (LPA) V. Gorban arrived unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Miriam Fickewirth, certification number 7002605740 and expiration date 12/02/2027. LPA conducted facility tour inside and out of facility with staff. Residents observed at the facility after breakfast time.
The facility was observed to be at a comfortable temperature of 74 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 04/27/2026. Last fire drill recorded in May 2025
Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in freezer, refrigerator, and pantry. Food is delivered once a week.
The facility is comprised of three level sections; three residents’ rooms on the upper level are not licensed by DSS. Main level comprised residents rooms, dining and kitchen. Lower level is three rooms and a laundry . The census during the visit six (6) assisted living residents.
LPA toured resident bedrooms. Residents' rooms were toured and observed adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 113 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area.
Medications were stored in a locked medication closet in the kitchen. The first Aid Kit was observed with all required items. LPA toured the laundry room and observed chemicals were stored and locked in for staff use only. The facility courtyard was toured and observed to be free from debris. There was outdoor seating available for the residents. LPA reviewed facility Plan of Operation, Infection Control Plan, Emergency Disaster Plan and number of staff and residents’ files requested and reviewed during the inspection visit.
Deficiencies cited for incomplete residents and staff records and attached to D-form.
Exit interview conducted. Report signed and its copy with appeal rights provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction