Facility Evaluation Report

On this date, April 15, 2026, at 10:40 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection. LPA was granted entry by Board Director/Vice President Mike Clark and informed the reason for visit. LPA also met with Board Director/President Robyn Harvey.

LPA toured the facility inside out with Mike Clark. LPA inspected the main building (West Wing), Azalea, Garden and Peralta Cottages. There's no sign of residents living in the Assisted Living (AL) part of the property and the AL is currently not in operation.

The following were discussed with Mike Clark and over the phone with Licensing Program Manager Jeremy Fong:

1. Board Directors' intent to keep the license and have management company be part of the license.

Submission of abbreviated application to Central Application Bureau.

Keeping LPA informed when abbreviated application is submitted.

The annual fee which was due on April 4, 2026 is not paid as of this date.

Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date may result in civil penalty.

Deficiency and plan and proof of correction were discussed with Mike Clark.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.