Facility Evaluation Report

On March 26, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Administrator, Juliet Pacaldo and explained the purpose of the visit.

LPA toured the facility including a random sample of resident rooms, common areas, and kitchen area. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a two story facility. Some resident rooms were observed to be single private rooms and some were observed to be shared rooms. Resident rooms had required furnishings. Three shower rooms were observed with non-skid mats. Bathrooms were observed to be odor-free. Water temperature throughout the facility was within regulatory requirements. LPA observed window screens in some resident rooms to be broken or ripped. 2nd floor dining room also was observed to have a window screen in disrepair.

A comfortable temperature of 70 degrees is maintained in the facility and lighting is sufficient for comfort. LPA observed 2 days for perishables and and 7 days non-perishable. Medications, sharps and chemicals were locked and inaccessible to residents. Emergency drill are being conducted and logged every 3 months. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current.

Five resident records and five staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

Deficiency was observed during the visit and cited from the California Code of Regulations, Title 22 and Health and Safety Code. See LIC809-D. Failure to correct the deficiencies may result in civil penalties. A copy of civil penalty is provided.

Report is reviewed with Administrator and a copy is provided.