Facility Evaluation Report

On this day, May 4, 2022. while at the facility for investigation of complaint (15-AS-20220428123317), Licensing Program Analyst (LPA) Delmundo learned that an individual in the facility was tested for COVID-19 with a positive result on April 26, 2022. The case was not reported to Community Care Licensing (CCL) and Local Public Health (LPH) which LPA confirmed with Executive Director Gilbert Castro.

LPA also learned from a resident that the shower head fixture holder in the apartment is broken. LPA also learned during interview of staff that the P-trap in one of the apartments' sink is clogged.

Deficiencies are cited per Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of corrections by plan of correction due dates and any repeat violations within 12 month period may result in civil penalty.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided to Lisa Lostica at the conclusion of exit interview.