Facility Evaluation Report

On October 14, 2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Evelyn Wilcox, Caretaker and explained the purpose of the visit.

LPA Calandra toured the physical plant. This is a 1-story building with 6 bedrooms and 4 and a half bathrooms, a living room, kitchen and backyard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. Hot water temperature was measured between the required 105-120 degrees Fahrenheit. All bathrooms had the required grab bars and anti-skid floor mats. The facility had the required 2 days of perishables and 7 days of non-perishables.

All soap, poisons, and detergents were observed to be locked and in-accessible to persons in care.

LPA Calandra reviewed 5 staff files and 5 resident files. All were observed to be complete.

During the inspection, LPA Calandra observed that the knives drawer in the kitchen was unlocked and accessible to persons in care. A Type A citation was provided for this deficiency.

LPA Calandra also observed on a previous visit on 10/7/2025 that the Licensee locks the exterior gate in front of the facility and takes care of residents who have been diagnosed with Dementia. LPA confirmed that facility staff lock the exterior gate. A Type A citation was provided for this deficiency.

The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties.

The Annual will be completed at a later date.

An exit interview was conducted. This report was reviewed with facility representative and a copy along with Appeal Rights provided.