Small board & care homeLicensed

Providence Residential Care - Lakehurst

409 Lakehurst Court, Fairfield, CA 94533

  • Licensed for 4 residents
  • Hospice waiver

About Providence Residential Care - Lakehurst

Providence Residential Care - Lakehurst is a small, home-like residential care facility for the elderly in Fairfield, California, licensed by the California Department of Social Services to care for up to 4 residents. It has held its current license for 7 years. It holds a hospice waiver, so residents can receive hospice care without moving.

Licensing & inspections

Official CDSS report
License status
Licensed
Facility number
486803843
Licensed capacity
4
Licensed since
September 19, 2019
Last state visit
August 25, 2026
Inspection visits
5
Recent routine and required inspections
Complaint visits
0
Visits to investigate complaints
Type A citations
0
Immediate risk to health, safety, or rights
Type B citations
0
Could become a risk if not corrected
Licensee:
Providence Residential Care
Administrator:
Lewis-Barreto, Annabelle
CDSS office:
NO. CAL AC/SC
Serves:
Elderly

State license notes: Age range 60 and over; Approved for capacity of 4 non-abulatory of which one may be bedridden; Approved hospice waiver for 4 residents.

Data from CDSS Community Care Licensing, last checked November 3, 2026.

Location

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