Facility Evaluation Report
Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by staff and explained the reason for the visit.
The facility is a two story building with an approved fire clearance of six non-ambulatory residents of which one may be bedridden and a hospice waiver for three. The facility currently has a census of 6 residents.
During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in three of three resident bathrooms. The hot water temperature measured between 108.3 and 112 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on March 2025. The facility’s last fire drill was conducted on August 8, 2025. 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 medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed.
LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. LPA confirmed that administrator has a current administrator certificate which expires on May 26th 2027.
No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction