Facility Evaluation Report
On August 5, 2025 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver, Corazon Rodriguez and LPA explained the purpose of today's visit. The Administrator, Ethel Gumban arrival shortly thereafter and assisted with the inspection.
LPAs toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 4 resident rooms, 2 full baths, one a half bath, and 1 staff room. LPA observed 2 shared resident rooms. LPA observed the other 2 resident rooms to be private.
LPA toured the living and dining room and observed it to be clean and clear from any tripping hazards. A comfortable temperate is maintained. Lighting was sufficient for comfort. Extra linen was observed to be present. LPA toured the kitchen and observed medication, and chemicals to be locked and inaccessible to residents in care. LPA observed sharps in the kitchen drawer to be unlocked and accessible to residents in care. LPA toured the kitchen and observed 2 day perishable and 7 day non-perishable.
LPA toured the garage where the washer and dryer were observed to be in good working condition.
Hot water temperature in the kitchen and bathroom were measured at 106- 112 degrees Fahrenheit. Fire extinguishers were checked and last inspected on 3/20/2025. Disaster drills were reviewed.
A review of (5) resident files was conducted and noted on the LIC 858.
A review of (2) staff files was conducted and noted on the LIC 859.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction