Facility Evaluation Report

On 10/10/2024 at 08:30 AM Licensing Program Analysts (LPA) J. Clancy-Czuleger and J. Sampair arrived unannounced to conduct a Case Management. LPA met with Ericka Tillis, Administrator.

While at the facility on 10/07/2024 LPA J. Sampair observed that there were 11 residents in the care facility. S1 stated that only 6 were residents of this home and the other 5 were residents for the other home Heart and Sol Communities (15601242) that's located at 3770 Sutter st. Oakland. When arriving at the facility on 10/10/2024 LPA's were informed by staff that they had 7 residents.

It was also observed that there were chemicals left under the upstairs kitchen sink and bathroom sink unlocked and accessible to residents.

Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809D's. A $250.00 civil penalty is assessed for each of the repeat violation of deficiency section #'s 87204(a) and 87309(a) . Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties.

Exit interview conducted. Appeal Rights, LIC421FC, and copy of this report provided.