Facility Evaluation Report

On 05/20/2025 around 9:15 AM, Licensing Program Analysts (LPA) L. Holmes arrived unannounced to conduct a proof of correction (POC) inspection. LPA met with Justin Zackzewski, Director of Hospitality and explained the purpose of the visit.

Facility has the following deficiencies that were not cleared, and deficiencies were issued on 05/02/2025 from California Code of Regulations, Title 22 :

- 87303 (b)(3): Licensee/ED to assess HVAC system, thermostat, and make repairs. Consult R1 about temperature range, provide proof of training with signatures, and invoices by POC date.

- 1569.80 (b) Licensee/ED to inform R1's physician by written communication, provide proof of notice to CCLD, review regulation, and certify with signatures by POC.

- 87468.2 (a)(2) Licensee/ED to review regulation and ensure that all residents records are presented and maintained with confidentiality. Provide in-service training for Care Staff, and signatures as proof.

Civil penalties of $1100.00 are assessed for the period of 05/10/25 to 05/20/25 for failure to correct each above deficiency. Total civil penalties in the amount of $3300 are being assessed today. Facility is subject to ongoing civil penalties until deficiencies are corrected.

Exit interview conducted. A copy of this report, civil penalties, and appeal rights provided.