Facility Evaluation Report

On 07/15/2026 Licensing Program Analyst arrived at the facility to complete an unannounced

annual visit. LPA met with House Manager, Chere Harper, explained reason for visit and was

permitted entry into the facility. Administrator, Ricardo Puga arrived a short time later. LPA

completed a tour of the facility inside and out. There was 1 resident present during todays visit.

Pathways and doors inside the facility were clear and free from obstruction. Facility was without

odor. Common areas were adequately furnished, and adequately lit. Smoke detectors were present

and operational at time of visit. Fire extinguisher last serviced 06/05/2026. Resident rooms observed

to have the required furnishings and with adequate lighting. Sharps, chemicals and medications

were located in locked cabinets/closets and cupboards. LPA observed sufficient seating under

The following issues were observed during today’s visit: Carbon monoxide detector was not

functioning. Facility is licensed for ambulatory status only. There is 1 non-ambulatory resident at the

facility. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited

on the attached 809D. If not corrected, the violation with have a direct and potential risk to the

health, safety and/or personal rights of residents in care.

LPA requested the following documents to be submitted to CCL by 07/24/25: current copy of

Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative

Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Affidavit regarding Resident Cash

Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020),

a current copy of surety/liability insurance in order to update the facility file.

Exit interview was conducted with Administrator, Ricardo. A plan of correction was developed by

Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were