Facility Evaluation Report

On 06/12/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA met with saff member(SM), Terri Salcido and explained the purpose of the visit. LPA asked that SM Salcido call the Facility Designated Administrator (FDA), Johanna West that CCL was present at this time. It was learned that FDA was no longer with the company. Shortly after, LPA met with the new Facility Designated Administrator, Jamie Rolando Andrade and explained the purpose of the visit.

This facility is licensed to serve up to 6 elderly residents.

Current census was 4. Upon arrival LPA Pascua observed 1 resident sitting outside and 3 other playing a card game at the dining table. Shortly after, all residents went out on a walk with facility staff.

LPA reviewed 4 resident files. LPA reviewed 4 staff files. LPA reviewed 4 staff files

The FDA does not have an active administrator certificate on file at this time. However, LPA had advised for the following documentation to update the administrator:

-A letter from the licensee appointing the individual as the Administrator.

-Copy of the current Administrator certificate

-Documentation verifying that the individual meets education/experience