Facility Evaluation Report

On 3/24/2026 at 10:50 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a Case Management visit. LPA met with Executive Director, Gilbert Castro and explained the purpose of the visit.

While LPA A Gomez was conducting a complaint investigation (15-AS-20250820161102) LPA found through interviews an incident reports that facility is not providing adequate care and supervision. LPA found that on 8/13/2025 R2 entered R1’s room without staff knowing during mealtime due to staff not monitoring residents being brought down to dining. LPA interviewed staff (S1) who stated that at the time of the incident “there was not a system in place to ensure the monitoring of residents being brought down to dining and that it was common for residents to wander off.” R1 and R2 were both memory care residents.

The deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (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. A copy of this report and appeal rights provided