Facility Evaluation Report

On 12/29/2025 at 12:00PM, Licensing Program Analysts (LPAs) G. Luk and Y. Brown arrived unannounced to conduct a case management visit. LPA met with Executive Director, Dolly Rizvi and explained the purpose for the visit.

While LPAs were at the facility for a complaint investigation (#15-AS-20251215162420), the following deficiencies were observed.

LPAs observed eviction notice issued to R1 on 11/13/2025 did not specify what care needs the facility was unable to provide to R1.

LPAs observed facility did not provide 90 days written notice to R1 or R1's family regarding R1's increase rate. An email was sent on 11/26/2025 regarding R1's rate increase for December 2025.

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

Exit interview conducted with Dolly Rizvi. A copy of this report and appeal rights provided.