Facility Evaluation Report
On 8/26/25 at 8:30 AM, Licensing Program Analyst (LPA) A. Gomez conducted a case management visit as a result of an self-reported incident report received 8/19/2025. LPA met with Assistant Administrator Elizabeth Boehmer.
It was reported that R1 assaulted S1. LPA reviewed R1's care plan and spoke with staff. LPA requested that R1 get an updated care plan and appointment for a new physicians report by 8/29/2025. While at the facility LPA observed the facility blocking the passageway into the kitchen with a round table. LPA had the facility remove the table.
The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction