Facility Evaluation Report
On 09/22/2025, Licensing Program Analyst (LPA) V Gorban arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with house manager Victoria Montoya, administrator Kay Cabuco, certification number 7025362740 and expiration date 02/15/2027 was notified of Licensing visit. LPA conducted tour inside and out of facility with house manager.
The facility comprised of two addresses, one (1221 david ave, one building with six residents) occupied by dementia residents while the other (1229 david ave, seven buildings with thirty six residents) occupied by assisted living residents. Both addresses located next to each other and accessible by locking mechanism gate. The facility was observed to be at a comfortable temperature of 77 degrees, clean, in good repair, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 03/10/2025. last disaster drill recorded in April 11th, 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 on Thursdays, Sysco. Refrigerator temperature was maintained at 40.0-degree F. and freezer was maintained at -9-degree F.
LPA toured resident bedrooms. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. Hot water temperature tested at 112 degrees F. LPA observed securely fastened grab bar and non-skid mat in shower area.
Medications were stored in a locked medication room in a medication cart. Medications records were reviewed. Facility uses Synkwise for medication documentation and tracking. First Aid Kit was stored in medication room and observed with all required items. Adequate PPE supplies was observed. LPA toured laundry room and observed chemicals were stored and locked for staff use only.
LPA reviewed personnel and residents files. No deficiencies were observed during this visit.
Exit interview conducted, report signed and copy provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction