Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar-Ettima met with the Memory Care Director (MCD) and made an initial complaint # 31-AS-20250714121426 visit to this facility. This Case Management has nothing to do with complaint visit.

During Complaint Investigation, LPA Alvizar-Ettima discovered the following Staff (S1) and (S2) have been present without a Criminal Background Clearance and Association to this facility. S1 stated their first day of work was 07/14/2025. S2 stated that their first day of work was 07/08/2025. LPA request/received staff S1 Nebraska and S2 California Driver’s License.

LPA Alvizar-Ettima verified using Guardian Background System Check, staff S1 and S2 names did not appeared on facility roster.

S1 indicated that she is an Entrim Executive Director of sister community in Nebraska. At about 11:30a.m., S1 left the facility to Burbank Airport and to take a flight to Nabraska. S1 indicated that she will not be returning back to this facility.

During today’s visit S2 was Criminal Background Clearance and Associated to this facility.

A citation and civil penalty were issued. Copy of this report was provided to Memory Care Director (MCD), Syrina Canez