Facility Evaluation Report
On 11/12/2025 at 2:30 PM, Licensing Program Analyst (LPA) P.Manalo conducted an unannounced Case Management visit.
While LPA was at the facility for another case management, LPA observed the following:
On 10/21/2025, CCLD received an incident report of Resident 1 (R1) who sustained a fracture on 10/12/2025. Facility failed to report as required.
The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty.
Exit interview conducted with Amari. Appeal Rights, LIC421FC, and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction