Facility Evaluation Report

Choice Manor I, Pacifica05/08/2026Licence 419210022

Capacity6
Census6
Date signed05/08/2026 04:06:27 PM
Name of licensing program analystGrace Donato
Name of licensing program managerBrenda Chan
The inspector’s account

On 5/8/2026, LPA Grace Donato conducted an unannounced annual visit to the facility. LPA met with DIrect Support Staff Joane Reyes. LPA explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. LPA observed residents arriving from day programs. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitor is working properly. Resident bedrooms and bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are quarterly.

Six resident records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

No deficiencies are cited at this time. Report is reviewed and a copy is provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction