Facility Evaluation Report

On 9/16/2025 at 10:00 AM, Licensing Program Analysts (LPAs) Y. Brown and D. Panlilio arrived unannounced to conduct a health and safety check. LPAs met with Administrator Supervisor Dwayne White and informed him the reason for the visit.

LPAs toured the facility including but not limited to resident's bedrooms, bathrooms, common area, kitchen, and outdoor area. 7-day of non-perishable and 2-day of perishable food supplies were sufficient.

At 12:15 PM, LPAs observed that the facility did not submit an incident report regarding a situation that happened at the facility.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of the appeal rights and this report provided.