Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted a Case Management (CM) visit to the facility to follow up on citations issued on 10/15/25. LPA met with the House Manager, Matthew Caceres, and advised him of the visit.

On 10/15/25, LPAs Jose Gary Tan and Cava conducted a Case management visit to the facility to follow up on citations issued on a Required Annual visit that was made on 09/24/25. Citations on that visit were addressed, but during visit on 10/15/25, additional deficiencies were observed and the facility was cited for the following:

Section 87303(a)- Maintenance and Operation: LPAs observed toilet seat not installed on the toilet in bathroom 1.

Section 87458(a)- Medical Assessment: R1 did not have a Medical Assessment on file.

Section 87507(a)- Admission Agreement: R2 did not have an Admission Agreement on file.

Section 87412(a)- Personnel Records: S1 did not have a complete LIC 503/Health Screening.

Today's CM visit consisted of a physical plant inspection, made between 10:30am to 11:30am, interviews with staff and residents, made between 11:30am to 12:30pm, and record review, made between 12:30pm to 1:30pm to address these citations and insure the health and safety of the residents in care. Per inspection, the above citations are cleared and have been addressed. Matthew was advised and a copy of this report issued. Matthew also stated the licensee is in the process of searching and hiring a new administrator in place of the current one on file.