Facility Evaluation Report

On 11/05/2025 at 12:30 PM, Licensing Program Analyst (LPA) A. Gomez conducted a case management visit while at the facility for complaint 15-AS-20250707144910. LPA met Licensee/Administrator Mona Eweda.

While conducting the investigation for complaint 15-AS-20250707144910 LPA found via text messages and interview with witness 1 (W1), and Licensee that R1 was accepted into the facility with indwelling catheter . However interviews and text messages uncovered that staff did not have the proper knowledge or required instruction to accept and retain R1. LPA observed Licensee requesting assistance from R1's responsible party on how to provide care for the catheter because they had never done it before. LPA also requested to review the required training needed for any staff assisting with a catheter and the Licensee was unable to provide it.

During the visit on 11/5/2025 LPA observed the facility temperature at 66 degrees Fahrenheit upon arrival which is bellow the minimum required temperature of 68 degree F, (20 degrees C).

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.