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PROVIDENCE RESIDENTIAL CARE - LAKEHURST

409 LAKEHURST COURT, FAIRFIELD, CA 94533 · License #486803843 · (707) 673-2085

Licensed

Capacity

4

Licensee

PROVIDENCE RESIDENTIAL CARE

Administrator / Contact

LEWIS-BARRETO, ANNABELLE

Licensed Since

9/19/2019

Last Visit

8/25/2026

AGE RANGE 60 AND OVER; APPROVED FOR CAPACITY OF 4 NON-ABULATORY OF WHICH ONE MAY BE BEDRIDDEN; APPROVED HOSPICE WAIVER FOR 4 RESIDENTS.

Citations

0

Type A: 0 · Type B: 0

Complaints

0

Substantiated: 0 · Inconclusive: 0 · Unfounded: 0

Compliance Summary — since 9/19/2019

Total State Visits

5

Inspections

5

Complaints on Record

0

Substantiated Allegations

0

Cumulative totals across this facility's entire California licensing history, per CCLD public records — not just the reports summarized below.

AI Summary

A plain-English recap of what you've selected below

Reports in this summary (5)

All Official Reports (5)