Facility Evaluation Report

On 5/29/2025 at 2:00PM, Licensing Program Analysts (LPAs) G. Luk and Y. Brown arrived unannounced to conduct a health and safety check as a result of a priority 1 complaint. LPAs met with Licensee/Administrator, Ericka Tillis and informed her the reason for visit.

LPAs toured facility including but not limited to resident's bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 106.2 degrees F in a resident's bathroom sink. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Smoke and Carbon monoxide detectors observe. Fire extinguisher was observed to be full and last serviced on 3/7/2025.

At 1:52PM, LPAs observed S1 is not fingerprint cleared after reviewing Guardian system. Civil penalty of $500 is being assessed.

At 3:15PM, LPAs observed unlocked medication in the refrigerator and on the counter in the kitchen.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted with Ericka Tillis. A copy of this report, civil penalty, and appeal rights provided.