Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the care home unannounced on 6/5/25 to conduct a post licensing visit.

LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and four (4) bathrooms for resident use and one (1) bedroom for staff. LPA reviewed six (6) resident files and four (4) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy.

As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to conduct a tour of the premises, review medications, finish interviews with staff and residents, and complete post licensing inspection. Exit interview conducted and copy of report given at the conclusion of this visit.