Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an announced 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 Administrator Reiner Avendano.

An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Unit (CAU) on 3/09/2022 for a capacity of six (6) Non-Ambulatory residents.

Administrator Reiner Avendano has an Administrator Certificate with expiration date of 10/06/2022. Administrator Mark Ryan P Cruz has an Administrator Certificate with expiration date of 12/02/2022.

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

At approximately 1:50pm, LPA Quiroz along with Administrator Reiner Avendano commenced the inspection tour.

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

Structure: Facility is a two story building. The first floor consists of: 2 (two) private resident bedrooms, 2 (two) shared resident bedrooms, living-room, kitchen with dining area, office staff area, 4 (four) resident bathrooms, garage area with operational washer and dryer and backyard area with outdoor furniture for resident's enjoyment. The resident bedrooms will accommodate residents' furnishings.

The second floor consists of: 4 (four) bedrooms and three(3) bathrooms. The second floor is utilized for caregiver headquarters area only.