Facility Evaluation Report

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct a required annual visit. LPA was greeted and granted entry and explained the reason for the visit.

The facility is a single story home. The facility is licensed for three ambulatory residents and 3 bedridden residents. Three residents were present during today's visit and the remaining two residents were at day program.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and testing water temperatures in two bathrooms. Temperature measured at 128.6 and 128.9 degrees Fahrenheit. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed a second fridge and freezer in facility garage. LPA observed last emergency drill was conducted on March 3, 2026. LPA observed medication storage and reviewed the centrally stored medications. LPA observed emergency food and water for 72 hours in facility garage.

LPA reviewed out four of four staff training and fingerprint records. LPA conducted a complete review of client records LPA confirmed that administrator has a current certificate which expires on June 18th 2027.

Based on the observations made during today’s inspection deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.