Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced Case Management visit on October 30, 2025. LPA was greeted and granted entry by Staff #1 and explained the purpose of the visit. Currently the facility has a census of three residents in care.

LPA requested copies of residents' Identification and Emergency Forms, Physician's Reports and Admission Agreements. LPA conducted a health and safety check on the three residents in care.

During the course of the visit LPA toured the facility which was clean and there were no odors detected. Utilities were on and appliances were in working order. LPA observed the refrigerator and two freezers were full with a variety of fruits and vegetables; as well as frozen meats. Pantry was stocked with canned goods and emergency food supplies were also observed. The facility orders food every Monday and food is delivered weekly.

LPA conducted a health and safety check and interviewed three of three residents regarding their quality of care and interviewed three of three staff regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on May 27, 2026.

Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Eli Cuyson, Administrator and a copy of the report and files reviewed (LIC 858) were given at the time of the visit.