Facility Evaluation Report
Licensing Program Analyst (LPA) De Leon arrived at 1:30 pm to conduct a 1 year annual visit to the facility above. LPA met with back up Administrator Rachelle Tellez and explained the purpose of the visit.
A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:
Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, and hand soap. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE).
Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires in April 2026. The facility is approved for a capacity of 22. The fire clearance is granted for 22 Non-Ambulatory of which 18 may be bedridden and Hospice is approved for 8.
Physical Plant & Environment Safety: The fire extinguishers were last charged and inspected on July 14, 2025. The facility is a 17 bedroom, 13 resident bathrooms and 3 common areas restrooms, 2 living rooms, 2 kitchens, 2 dining rooms, activity room, 2 laundry rooms, staff area with lockers, and beauty parlor. The facility is currently occupying 15 residents in care and employs 20 staff and 2 Administrators. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside. Disinfectant, cleaning solutions and poisons are inaccessible to residents in care and locked in cupboards and closets. Continued 809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction