Facility Evaluation Report
On August 19, 2025 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA meet with the administrator, Maria Zepeda and LPA explained the purpose of the visit.
LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. 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. Facility is clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort.
The facility has 3 shared bedrooms (2 female rooms and 1 male room), 2 full- bathrooms and bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Hot water temperature was measured at 110-118 degrees Fahrenheit.
LPA observed medications, toxins and sharps were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present.
A review of (6) resident files was conducted and noted on the LIC 858.
A review of (3) staff files was conducted and noted on the LIC 859
A civil penalty of $100.00 is being assessed today as the facility did not complete the process of requesting a transfer of criminal clearance record for S1.
Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties.
This report is reviewed and discussed with the administrator/licensee. A copy of the report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction