Facility Evaluation Report
On 04/08/2024 at 8:30 am Licensing Program Analysts (LPAs) Yasamin Brown and James Sampair arrived unannounced to do an annual inspection. LPAs met with Administrator Josephine Wilson and explained the purpose of the visit.
The LPAs reviewed the records of 5 residents and 3 staff members.
One (1) Type A citations and six (6) Type B citations issued during visit.
One (1) Civil Penalty was assessed for $500.
Civil Penalties totaling $500 have been assessed today for failure to meet POC due dates for the deficiencies above. Facility is subject to ongoing daily civil penalties until proof of corrected deficiencies have been sent to Community Care Licensing (CCL).
Deficiencies are cited from Title 22 California Code of Regulations (see 809D's). Failure to submit proof of correction may result in additional civil penalty.
Exit interview conducted and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction