Facility Evaluation Report
On 07/29/2026, Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced and was greeted by Regional Nurse, Allison Lopez. Administrator Robert Godfrey arrived shortly. The purpose of the visit is an Annual Inspection. There are currently 21 residents residing at the facility. There were 2 caregivers and one med tech at the time of inspection, as well as the Regional Nurse, the Administrator, Dietary Lead and Regional Maintenance Director.
LPA inspected the facility's kitchen and found it clean and well organized, with an ample supply of perishable and non-perishable foods, as required per Title 22. There were also emergency supplies stored. LPA discussed an updated menu. Kitchen knives are locked in storage closet in kitchen when not in use. Residents' rooms were clean and furnished as per regulation. Bathrooms had soap and paper towels. Water temperature measured between 105 and 114 degrees F, which is within regulation. Common areas including the dining room, activities room and the Great Room were all clean and well organized. Medications were locked and stored in general office and on the medication cart. Fire extinguishers throughout the building were fully charged. The last fire drill took place on 07/28/2026 and the last fire inspection was on 06/09/2025. Carestaff do several activities over the course of the day including chair exercise, BINGO, bible study, arts and crafts. The outdoor areas were free from debris and all windows had screens. The outdoor courtyard provides seating for residents and visitors, but relies on shade trees to provide shade to the area.
Three (3) resident files and five (5) staff files were reviewed and found to be complete. Facility is switching over to electronic file system. LPA requested that Administrator review training records and transcripts and organize.
LPA requested an updated LIC500, proof of Liability Insurance, updated Emergency Disaster Plan, updated Infection Control Plan.
No deficiencies found at the time of inspection. No citations.
Exit interview conducted with Administrator Robert Godfrey.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction