Facility Evaluation Report
An unannounced Annual/year visit was conducted on the date & times indicated above by Licensing Program Analyst (LPA) K. Mcclurg. LPA met with Care Giver (CG)Theresa Cumlat, introduced self & asked if Licensee/Administrator (L/A) Davilyn Mancilla was on the premises. CG stated no, but would call L/A. LPA called L/A to notify them that LPA was @ facility & purpose of visit. L/A stated that they would come to facility.
LPA observed 4 of 5 residents in living room watching television. Residents appeared to be appropriately dressed & groomed.
Facility toured. Dining & living rooms have required seating & lighting. Resident bedrooms toured. Bedrooms have furnishings & lighting. No unpleasant odors detected throughout facility. Observations of floors, counters, resident belongings indicating sufficient housekeeping.Fire extinguisher service date 7/14/2023.
Annual visit to be continued at a later date due to time restrictions.
Exit interview conducted with L/A. Report provided @ time of visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction