Facility Evaluation Report
On July 03, 2025, Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Case Management - Annual Continuation visit. LPA met with the Executive Director (ED), Tim Selleck, and disclosed the purpose of the inspection. The visit was a continuation of the Annual inspection visit that occurred on 06/16/2025.
LPA reviewed six (6) staff personnel records and five (5) resident records. The LPA observed that 5 of 5 residents had the Admission Agreement, Physician's Report, and Appraisal Needs and Services Plan. LPA observed that 6 of 6 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 6 of 6 staff members were associated with the facility.
No deficiencies were cited during today's visit.
An exit interview was conducted with the Executive Director. A copy of this report was provided to the Executive Director, Tim Selleck, whose signature on this form confirms receipt of the report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction