Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management Visit- Deficiencies on 07/17/2026. LPA Ramirez met with Administrator Giron and explained the purpose of the visit. During today’s visit LPA Ramirez discussed with Administrator Ana Giron discrepancies identified between staff#4 (S4) interview statements and the video evidence obtained by LPA on 05/19/2026. Interview statements made by S4 on 05/19/2026, revealed that no water leaked onto R1’s bathroom floor, facility hallway and that R1’s bathroom sink was only in disrepair for one (1) day. Video evidence obtained by LPA Ramirez on 05/19/2026, revealed that R1’s bathroom sink was in disrepair for at least five (5) days from 05/09/2026 through 05/14/2026 and water was observed throughout R1’s bathroom floor on 05/14/2026. Interviews with five (5) out of six (6) residents revealed they remembered on or around 05/07/2026, R1 yelling to “shut off the water!” and when residents opened their bedroom door, they observed water rapidly flowing out of R1’s room and into the facility hallway. Interview with R1 revealed that for eight (8) days R1’s bathroom sink was in disrepair and R1 was unable to use their bathroom sink for grooming needs and was not offered to be relocated to another room while repairs were pending. Interview with Administrator Giron corroborated that R1 was not relocated to another room while R1’s sink was being repaired. Administrator Giron and S4 both denied that R1’s bathroom sink was in disrepair for more than one (1) day and that water flooded R1’s bathroom or facility hallway.

Based on interview statements gathered and video evidence obtained, LPA Ramirez issued one (1) deficiency for staff making false or misleading statements regarding the facility and one (1) deficiency for violation of R1’s personal rights. Two (2) deficiencies for violation of California Code of Regulations, Title 22, Division 6 and Chapter 8 are cited on the attached LIC 809-D.