Facility Evaluation Report
On 06/27/2025, Licensing Program Analyst (LPA) V. Gorban arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA toured the facility with facility staff Sheila Tupino, administrator was notified of licensing certification number 7002185740 and expiration date 09/03/2025.
The facility is two story building with four residents room on upper level and two residents private rooms on lower level was observed to be at a comfortable temperature, of 74 degrees F. Facility is free of debris, in good repair, and no passageway obstructions or fire hazards were observed. Common areas were properly furnished and well-lit throughout. LPA observed some residents in common area during breakfast watching television, others in their rooms resting. Department phone number and infection prevention information signs were posted thought the facility.
Inspecting kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. An emergency disaster supply was observed.
A fire extinguisher was observed in compliance with service date 12/02/2024 Last fire drill recorded on 06/15/2025 Private residents’ bedroom observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 120 degrees F.
Medications records storage observed to be locked in a cabinet in the dinning area. Cleaning supplies were observed to be in a locked cabinet in the storage it the garage. An outdoor seating area was observed operational for residents in care. Staff and residents records reviewed.
Deficiencies were observed and cited during this visit.
Exit interview conducted. Copy of this report with appeal rights provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction