Facility Evaluation Report

On July 21, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for the purpose of conducting a Case Management - Health Checks visit. LPA introduced self, explained the reason for the visit, and was granted entry into the facility by staff. Administrator (AD) Rosendo Carla Miranda was contacted via telephone and designated Rian De Leon to sign the report.

During today’s visit, LPA conducted a tour of the physical plant with staff and observed the following: There are currently six residents present and two staff on duty. Residents were observed in clean clothes, watching television, and some sleeping, with no concerns. Water, electricity, gas, and cable are all operational. Bathroom faucets are verified to dispense hot water between 112.1 and 114.8 degrees F. The kitchen was observed clean with all appliances operational. The facility has a two day supply of perishable and seven day supply of nonperishable food items available. Emergency food and water supplies were available in the garage. Proof of Liability Insurance was provided and is effective from March 3, 2026, through March 3, 2027. Interviews were conducted with residents and staff. Residents stated there have been no interruption in utilities and staff are always present to assist. LPA observed the tub in Bathroom #1 in need of repair as overflow and drain covers were not present and there is rust throughout the bottom of the tub. The landlord and facility staff reported pipes were removed from the tub in Bathroom #1 in June 2026. Records were requested. LPA also observed two overgrown trees in the backyard. The landlord reported that July 2026 rent has not been paid as of July 21, 2026.

Based on today's observations, two deficiencies are being cited, as per Title 22 Division 6, Chapter 8 of the California Code of Regulations. An exit interview was conducted with Caregiver Rian De Leon, and a copy of this report, LIC809-D, and appeals rights were provide at the end of the visit.