Facility Evaluation Report
On March 4, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Licensee Allen Medina was notified via telephone but was unable to assist with today's inspection.
On today's visit, LPA observed that facility current has a census of one resident. However, there were no residents physically present at the facility during today's visit. Per staff on duty, the one resident still remains at a Skilled Nursing Facility and a return date to the facility has not been scheduled yet. LPA, accompanied by a care giving staff, conducted a tour of the physical plant of the facility. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the five bathrooms located in the facility, three of which are dedicated for resident use. LPA observed bathrooms to be clean. LPA observed that a light in one of the five bathrooms is still not operational. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 115.9 and 119.2 degrees Fahrenheit.
LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed that the paint in the kitchen pantry area is still peeling and still has not been fixed. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit. CONTINUED ON LIC809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction