Facility Evaluation Report
On July 28, 2026, Licensing Program Analysts (LPAs) Brandon Lopez and Tran Nguyen made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Lisa Roche was notified via telephone and later arrived to assist with the inspection. LPAs observed Lisa Roche submitted a renewal application with the Administrator Certification Bureau (ACB) on July 7, 2026
The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for six. The facility is a single story home with six resident bedrooms, three shared resident bathrooms, a living room, a dining room, a kitchen, a storage room, and an attached three car garage. LPAs, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPAs observed four resident in care and three care giving staff present. LPAs observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the dining room. LPAs inspected all six resident bedrooms and observed them to be free of hazards. LPAs observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed resident beds to have clean linens and blankets. LPAs observed additional linens to be stored in a hallway closet. LPAs inspected the three shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 116.9 and 118.7 degrees Fahrenheit.
LPAs observed the facility has a two day perishable and a seven day nonperishable food supply on hand in the kitchen. LPAs observed kitchen appliances to be clean and operational. LPAs observed the five burner gas stove lights unassisted. LPAs observed kitchen knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction