Facility Evaluation Report

On 10/31/2025 at 9:30 AM, Licensing Program Analysts (LPAs) Y. Brown and L. Fontanilla arrived unannounced to conduct a Case Management visit. LPAs met with Administrator, Jeffrey Tong.

While LPAs Y. Brown and L. Fontanilla were conducting a complaint investigation (15-AS-20251027194916) on 10/31/2025, LPAs observed

1. a staff member leaving a cart in the hallway that contained chemicals and disinfectants that were accessible to residents

2. the facility do not send incident reports to CCL

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

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