Facility Evaluation Report
On 11/05/2025 at 5:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a case management review related to complaint 15-AS-20240514173549. Upon arrival, LPA met with Executive Director, Rachel Davis, and explained the purpose of the visit.
During the course of the investigation, The Department conducted interviews, and reviewed files. It was discovered R1 had several falls while at the facility occurring on 3/25/2024, 1/9/2023, and 6/10/2022 and that the facility did not update R1 care plan after subsequent falls to address R1’s change of condition and care needed.
THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING INVESTIGATION:
Facility did not update residents care plan when there was a change in condition
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