Facility Evaluation Report
Licensing Program Analyst (LPA) Elena Mallett arrived at the facility to conduct an Annual Continuation Visit. The initial Annual visit was on 12/09/25. LPA Mallett met with Staff in Charge/ Caregiver Adrianne Gray. LPA Mallett arrived at the facility at 8 AM. The door bell was rung several times and the door knocked on and LPA Mallett verbally announced Licensing was at the door. Two phone numbers on LIS were called twice and messages left. At 8:40 AM LPA Mallett gained entry into the facility when residents were seen leaving the facility to board the Day Program Bus.Licensing Program Manager (LPM) Fernando Fierros joined the visit shortly after. LPA Mallett was informed by Staff in charge that Licensee Percy Olidan was not present at facility due to a personal matter. Staff in Charge was not able to make contact with Licensee despite several attempts. As staff in charge, Adrianne Gray agreed to sign for the report and be present for the visit.
The majority of CARE tool domains had been surveyed and documented in the Licensing Report for the initial Annual visit on 12/09/25. Deficiencies that were found then will be cited today.
The facility was toured today, 12/11/25 and risks to health and safety of residents were assessed. There was sufficient staffing to meet the needs of resident in care but Staff in Charge did not have a current CPR in personnel file. Toward the end of the day Staff in Charge showed a current CPR training on phone. A print out will be added to file at later date. Smoke detectors throughout the facility ( in non-occupied resident room, living room, hallway,staff rooms) were observed to be missing or inoperable. See 809-D.
On 12/09/25 visit the following was observed:
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction