Facility Evaluation Report
Capacity6
Census3
Date signed04/02/2025 03:09:01 PM
Name of licensing program analystKerry Hiratsuka
Name of licensing program managerTroy Ordonez
Licensing Program Analyst (LPA) K. Hiratsuka, conducted this unannounced post licensing visit. LPA toured the facility with Staff Member Getahun Tamerat.
LPA inspected the resident rooms, bathrooms, common areas, kitchen, and dining room. LPA observed the backyard. The food supply was inspected. The medication records were reviewed. LPA verified staff have first aid and CPR cards.
Due to a computer issue, LPA is going to return at a later date to complete the visit.
No deficiencies cited during today's visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction