Facility Evaluation Report

On 11/07/25, Licensing Program Analysts (LPA) J. Duarte conducted an unannounced Case Management visit for the purpose of Health and Safety of the residents in care. LPA introduced self, stated the purpose of the visit and was allowed entrance by Administrator (AD) Adam Tauchen. LPA toured the facility with AD. AD stated that three residents are at day program and one resident is visiting is with family.

LPA toured the kitchen and observed a two-day supply of perishable and a seven-day supply of nonperishable food. LPA toured the residents’ rooms and observed rooms to have required furnishings. All common areas observed to have adequate seating available for residents in care.

LPA reviewed a sample of medication and MARs and records reflect medication is being administered as prescribed.

LPA observed the bedroom with the restroom has a door that leads to the storage room. This door was locked and key was needed to unlock the storage room. On the facility sketch the storage room is labeled as an exit. In addition, the side gate has a metal bar that secures the gate closed, rather than a self latching gate. A deficiency being cited based on LPA's observations in accordance with the California Code of Regulations, Title 22, see LIC 809D. An immediate Civil Penalty is hereby assessed for fire clearance.

Please provide proof of corrections by POC due date of 11/08/2025. In addition, please provide medical files, IPPs, Med list/ Mars for October 2025, Admission agreements, charting notes/narratives for all residents by 11/12/2025.

An exit interview was conducted with AD and a copy of this report was provided.