Facility Evaluation Report
On 04/14/2026, 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 Administrator Michael Hagerty, certification number 7002185740 and expiration date 09/03/2027.
The facility was observed to be at a comfortable temperature, of 76 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 after lunch 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. Dishwasher observed Non operational. Refrigerator observed with cooling temperature recorded at
A fire extinguisher was observed in compliance with service date 3/30/2025 Last fire drill recorded on 03/17/2026 Private residents’ bedroom observed to be at comfortable temperatures. The bathroom’s water temperature was tested and recorded reading of 113 degrees F.
Medications records storage observed to be locked in a cabinet in the common area. Cleaning supplies were observed to be in a locked cabinet in the storage it the laundry room. An outdoor seating area was observed operational for residents in care.
LPA reviewed facility files. 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