Facility Evaluation Report

At approximately 09:50 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced for the purpose of conducting a quarterly Case Management-Legal/Non-compliance (NCC) Inspection and met with caregiver Lorna Valasquez who has Designation of Facility Responsibility (RP). Administrator Madonna Martinez was called to advise of today's inspection. Administrator Madonna Martinez arrived at approximately 11:15 AM to assist with today's inspection

Licensing received copy of a valid Administrator's Certificate #7020245740 on 01/28/2026 with expiration date of 06/20/2027

LPA was advised that there were five (5) residents in care, two (2) of which are on hospice.

Facility is licensed for six (6) residents, five (5) of which can be non-ambulatory, one (1) bedridden and has a hospice waiver for three (3) residents. Facility was found to be a warm, comfortable temperature and without odors in each of the resident's rooms.

This facility was placed on a non-compliance (NCC) on 06/26/2024 for a two-year term by Community Care Licensing (CCL); Concerns addressed in that NCC meeting on 06/26/2024 were:

Active Administrator in place for facility oversight per regulation

Timely response to CCL when communication is engaged