Routine inspection·February 15, 2024

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself to House Managers (HM) Everett Wery and Martha Oropeza and was granted entry into the facility. The facility is licensed to serve six (6) residents; of which all can be non-ambulatory and/or receiving Hospice Services, and 5 residents may be bedridden. During today's visit all 6 Residents were present. LPA Correia conducted a resident records review, briefly spoke to facility staff, accompanied by House (HM) Manager Oropeza, conducted a facility tour. Per today's facility tour resident bedrooms and bathrooms were equipped with required furnishings.. Smoke and carbon monoxide detectors, as well as a fire extinguisher were all present and operable, and up to date. An overall inspection of the facility began today however due to time constraints LPA was unable to complete the visit and will return at a later date to conduct the remaining portion of this inspection. No deficiencies cited at today's visit. This report was discussed with HM Oropeza.. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.