Facility Evaluation Report

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced case management visit to follow up on deficiencies identified on a Semi-Annual Residential Review Conducted by the East Los Angeles Regional Center (ELARC) dated 7/14/2025. LPA met with Maryjane Valles, Direct Support Staff for the facility, and explained the purpose of the visit. Licensee Yvonne Paredes-Alexander was notified of the visit by phone call.

The Semi-Annual Residential Review conducted by ELARC identified three (3) deficiencies in the report: that the facility had expired deli meat in the refrigerator, that the meal menu didn't specify the date in which it was developed, and that there were missing staff initials in the Medication Administration Record (MAR) for Client #1 (C1) for one of their bedtime medications on 7/2/2025.

During review of the medications, LPA observed that there were no errors in medication administration or documentation in the MAR. During review of the refrigerator, LPA observed that there were no spoiled meats, that all meats were labeled clearly with their expiration dates, and that the refrigerator has a log which documents when it is checked for spoilage. During review of the facility meal menu, LPA observed that it was dated on August 2025, however per Title 22 regulation it is required that it is developed at least one (1) week in advance.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed are recorded on the LIC809D pages. Exit interview was held and a copy of the report will be provided.