Facility Evaluation Report
On November 20, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual visit. Upon arrival, LPA met with Administrator Designee, Russlyn Guevarra. LPA explained the purpose of today's visit.
LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 3 resident bedrooms, 2 full bathrooms, and an office room. LPA toured the facility with the administrator designee and observed living room and dining room to be clean and free from any tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. During the visit, there was 1 resident present and 2 residents were at their day program.
Facility exits are equipped with audible alarms; extra linens present.
LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable.
LPA toured the garage and observed chemicals and toxins to be locked and inaccessible to residents in care. The garage also stored emergency supples.
Central storage for medications, and sharps were observed to be locked and inaccessible to residents in care.
Hot water temperature in the kitchen and bathroom were measured at 106-117 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 5/12/2025.
A review of (3) resident files was conducted and noted on the LIC 858.
A review of (2) staff files was conducted and noted on the LIC 859.
P & I were reviewed for 2 residents to be accurate.
LPA requested for a copy of the lease agreement to be submitted to CCL by 11/24/2025.
No deficiency is cited today; this report is reviewed and discussed with administrator designee. A copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction