Facility Evaluation Report
Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced case management visit regarding a change in capacity. LPA was greeted by and allowed entry into the facility by staff Diana Cisneros and discussed the purpose of the visit.
The Licensee applied for an increase in bedridden capacity. The approved Fire Clearance dated 5/27/26 reflects a total capacity of 10 residents in care, 4 of whom may be ambulatory and 6 of whom may be bedridden. The Fire Clearance specifies that rooms 2 and 3 are not cleared for bedridden status. LPA toured the facility and observed it to reflect the updated Fire Clearance and floor plan.
No deficiencies were observed or cited during today's today.
An exit interview was conducted with Diana Cisneros and a copy of this report and the Licensee Rights (LIC 9058 03/22) were provided and signature on this form acknowledges receipt.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction