Facility Evaluation Report
Capacity5
Census4
Date signed06/19/2025 01:34:07 PM
Name of licensing program analystKerry Hiratsuka
Name of licensing program managerTroy Ordonez
LPA Hiratsuka conducted an unannounced annual visit. LPA toured the facility with Caregiver Desiree Kohler
This facility has a fire clearance for five ambulatory residents. There are currently four residents in care. This facility has four resident rooms and one staff room. The staff room has a full private bathroom. There are two full common bathrooms. One of the full common bathrooms also has the clothes washer and dryer in it. There is also an office that has locked cabinets for medications and has storage space in it. There is an ample supply of perishable and nonperishable food. There are two sheds in the backyard.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction