Facility Evaluation Report

On 2/3/2026 at 11:30 PM, Licensing Program Analysts (LPA) Y. Brown arrived unannounced to conduct a Case Management visit. LPA met with care staff Maria Manjarez.

While LPA Y. Brown was conducting a complaint investigation (15-AS-20260128135521) on 2/3/2026, during file review and interview LPA discovered:

1. The facility did not obtain medication refills for R1 in a timely manner.

The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Administrator gave authorization for Maria to sign today's report.

Exit interview conducted with Maria and a copy of this report and appeal rights provided.