Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an Announced scheduled visit to the facility for purpose of a Pre-Licensing evaluation due to Change of Ownership. LPA Quiroz was greeted, COVID-19 screened, granted entry and met with Licensee/ Administrator (L/AD) Dulce Argosino.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Unit (CAU) on 3/21/2022 for a capacity of six (6) Non-Ambulatory residents. Administrator Dulce Argosino has an Administrator Certificate with expiration date of 3/23/2023.

LPA Quiroz provided consultation on Title 22 California Code of Regulations (CCR) and on new Inspection Tool.

At approximately 1:40pm, LPA Quiroz along with (L/AD) Dulce Argosino commenced the inspection tour.

During today's inspection visit, LPA Quiroz observed the following:

Structure: Facility is a one story building, which consists of: four (4) private resident bedrooms, one (1) shared resident bedroom, (1) one caregiver bedroom, living-room, kitchen with dining area, office staff area, garage area with operational washer and dryer and backyard area with outdoor furniture for residents and visitors enjoyment. The residents bedrooms will accommodate residents' furnishings.