Facility Evaluation Report

On May 19, 2025, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Helen Carcino. Administrator (AD) Ray Santianez arrived at the facility a short time later and was present during the remainder of the visit. AD Ray Santianez has an administrator certificate with an expiration date of August 18, 2025.

The facility is a single level structure, licensed for six (6) non-ambulatory residents of which one (1) may be bedridden and has a hospice waiver for six (6) residents. The home consists of the following: six (6) resident bedrooms, one (1) staff rest area, two (2) bathrooms, living room area, dining area, kitchen, outdoor shaded seating areas, and an attached two car garage.

During the visit, LPA Bentley obtained the facility's resident and staff rosters and LIC 500 Personnel Record. LPA toured the interior and exterior of the physical plant with AD Santianez and the following was observed:. All mandated posters were posted near the entrance. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperatures measured at 111.0 degrees F to 113.9 degrees F. A comfortable temperature of 73 degrees F was maintained throughout the facility.