Facility Evaluation Report

On 07/14/26 at 11AM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced case management visit regarding an incident that was reported to CCLD on 04/23/26. LPA spoke with staff (S1) and called administrator (ADM) on the phone who authorized S1 to act on her behalf and sign the reports. LPA explained the purpose of the visit with staff (ADM, S1).

R1 was sent to the hospital by facility staff for treatment and evaluation on 04/22/26. R1 was treated for back pain and was ready for discharge back to the facility on the same day. However, ER staff were unable to reach facility staff after several attempts to contact them. On 04/24/26, RP stated she spoke with the Ombudsman and administrator (ADM) who refused to take R1 back to the facility until R1’s responsible party (POA) provided R1’s list of medications and medical insurance card for proper care and supervision. ADM confirmed with LPA that she refused to take back R1 on 04/24/26 until she was provided with R1’s medication list and medical insurance card. LPA reminded ADM that the signed admission agreement between her and R1 is still binding. Therefore, she needs to take back R1 from the hospital. ADM received R1 back at the facility on 04/24/26.

Based on LPA’s observations and interviews which were conducted and record reviews, a deficiency is cited for improper eviction under Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.