Facility Evaluation Report

Licensing Program Analyst (LPA) Ethel Contreras arrived unannounced for the purpose of a Non-Compliance (NCC) Quarterly visit and was greeted by Caregiver, Maria Rivera. Administrator Josephine Mendoza arrived shortly after.

This facility was placed on a non-compliance (NCC) on 6/24/2025 for a two-year term by Community Care Licensing (CCL); Concerns addressed in NCC meeting on 06/24/2025 were:

- Facility failed to ensure R1’s personal rights

- Administrator Qualifications and Duties

- Change of condition for residents regarding LIC602 and updating Needs and Service Plans

LPA conducted a safety and walk through of the facility indoors and around the premises, finding it at a comfortable temperature, clean, odor free, exits free from obstructions and organized. Residents were clean and dressed appropriately. There was an ample supply of hygiene products for residents' care. There was also an ample supply of healthy perishable and non-perishable food as required by Title 22. Some food containers not labeled with food expiration dates. LPA had conversation that even if food is for staff, it needs to be labeled. All toxins and chemicals were locked and secure. Medication cabinet was locked. Fire and smoke alarms were tested and operational.

-New resident move in as of 3/25/2026, all documentation found present.

No deficiencies cited during today's NCC Visit. Copy of report given and read with administrator.