Facility Evaluation Report

1/6/2022 Licensing Program Analyst (LPA) , Nina Galarza conducted an unannounced Case Management visit. Purpose of the visit was to address deficiencies observed on 1/6/2022 during a complaint investigation. LPA met with assistant administrator, Jeene De Castro and stated the purpose of the visit. LPA toured facility with assistant administrator. LPA was provided Physician's Report for R1.

During the tour the following deficiencies were observed:

bathroom in room 40 with a hole in the sink

During the visit, LPA was not screened for symptoms of COVID-19. LPA is issuing a Technical Violation.

Deficiencies cited under California Code of Regulations, refer 809-D

Exit Interview conducted, copy of report and appeal rights provided.