Facility Evaluation Report
Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Divina Fernandez.
LPA observed 6 residents and 2 staff in the facility.
LPA interviewed Administrator (ADM) Divina Fernandez and 2 staff (S1, S2).
S1 stated he/she lives in the staff room since January 2026 and S2 stated he/she lives in the staff room since March 2026.
ADM stated the facility already schedule the fire clearance with fire department on 05/15/2026. ADM stated he/she knows S1 and S2 live in the new room since January and March 2026.
LPA toured the staff room. LPA observed the staff room was occupied by two staff.
The facility builds an bedroom in the facility as staff room. The facility allows staff live in the bedroom before the facility obtaining the fire clearance inspection report.
Deficiencies noted today. Please LIC809-D.
Exit interview was conducted with ADM. The report was provided to ADM for review and for signature. A copy of the report was provided to ADM.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction