Facility Evaluation Report
Capacity6
Census4
Date signed07/10/2026 11:58:46 PM
Name of licensing program analystMarisela Garcia-Centeno
Name of licensing program managerSabel Martinez
Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a case management visit in conjunction with an annual visit. LPA met with Lilia Rena, Administrator
During the visit, LPA discussed with Administrator Rena the requirements to submit for a hospice waiver. Rena stated that she will submit the waiver request this year to have it ready when one of the residents is under service care. LPA provided the Title 22 regulation pertaining to hospice service.
The administrator signature is confirmation of receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction