Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 9/20/24 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with caregiver, Juliet Wilson, and spoke with Administrator, Juan Ramirez, by phone call. Administrator gave permission to have caregiver sign report.

LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and two (2) bathrooms for resident use.

LPA reviewed five (5) resident files and two (2) staff files. During visit, LPA interviewed four (4) residents and two (2) staff. 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 complete a walkthrough of the home, review medications, and complete annual inspection. Exit interview conducted and copy of report given at the conclusion of this visit.