The Providence Manor LLC

About The Providence Manor LLC

The Providence Manor LLC is a small, home-like residential care facility for the elderly in Palmdale, California, licensed by the California Department of Social Services to care for up to 6 residents. It has held its current license for 4 years. CDSS lists it as serving residents with dementia. It holds a hospice waiver, so residents can receive hospice care without moving.

License status

Licensed

Facility number

197610242

Licensed capacity

6

Licensed since

July 6, 2022

Last state visit

October 3, 2026

Inspection visits

4

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:

The Providence Manor, LLC,

Administrator:

De Lima, Mary Ann N

CDSS office:

N LA & CEN COA AC/SC

Serves:

RCFE / Dementia

State license notes: Age range 60 and over. Approved for six (6) non-ambulatory of which one (1) may be bedridden in any of the bedrooms. Hospice waiver approved for six (6).

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

Location

Other care homes nearby