Facility Evaluation Report

On 7/1/25 at 9:00AM, Licensing Program Analyst (LPA) A. Gomez conducted a case management visit as a result of observations made during a facility visit on 6/11/2025. LPA met with Facility Manager/Nurse, Cindy Murphy and explain ed the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, common areas, and out door patios.

THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT:

P UB 475 Poster is not the correct dimensions 87468(c)(2)(A)

Facility is placing residents in walkways to eat meals because dining area can not accommodate all residents. 87307 ( a)(1 )

R1 a nd R2 are both utilizing chairs with attached lap tr a ys however there is not an exception or doctors orders for the postural supports 87608(a)

LPA observed expired Almond milk for the residents being used in the kitchen 87555(b)(8)

LPA observed the floors in the kitchen/food area sticky and dirty with debris and food 87303(a)(1)

L PA observed that food is not properly stored in the kitchen. 87555(b)(9)

LPA observed that the MAR is incomplete for all residents. 87465(d )

LPA observed the file incomplete for R1 87506(b)

LPA observed R1 asking S1 to go outside and S1 telling them they would have to go later. When LPA asked why S1 stated because there were not enough staff to supervise them outside. 87411(a)

LPA observed unlocked scissors at the front desk accessible to residents.87309(a)* * *

Facility is not developing and following a weekly menu 87555(b)(6 )

***Civil Penalty issued in the amount of $250 for repeat violation***

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.