Facility Evaluation Report

On 2/9/2026 at 3:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Plan of Correction (POC) Inspection. Upon entry, the LPA stated the purpose of the visit to Caregiver Pamie Palpallatoc. At approximately 4:00 PM Licensee / Administrator Donald Hay arrived.

The LPA reviewed facility documents, toured the facility, interviewed the Administrator, and Staff S1 and S2.

Citations and civil penalties were issued for the following violations:

Failure to Correct: Not conducting quarterly emergency / disaster drills. - $500

Repeat violation of operating a facility beyond the 8 resident limit to 9 residents, - $1,000

Caregiver Background Check: Allowing S1 to work without a criminal record clearance or exemption. $3,000

Civil penalties in total of $4,500 issued.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 809-D. Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted and a copy of this report provided.