Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted a complaint visit at 11:25am. During the course of the investigation related to Complaint Control Number: 28-AS-20250124154506, LPA observed in room 109, resident #2 (R2) has an oxygen tank in the room, and a "No Smoking-Oxygen in Use" sign was not posted outside resident room door and not at appropriate areas.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed during the visit are documented on 809D. Exit interview held and a copy of the report along with appeal rights were provided to the Administrator, Brandie Mendibles.