Facility Evaluation Report

Elena Mallett conducted an unannounced POC visit and met with Staff in Charge, Adrianne Gray. The purpose of the visit was discussed. The purpose is regarding citations issued on 12/11/25. The visit was to inspect the facility to ensure the deficiencies cited on 12/11/25 were corrected and discussed. Staff Adrianne Gray stated Licensee Percy Olidan has gone to the Phillipines on a personal matter and has not been at the facility since 3:30 AM on 12/11/25. Adrianne Gray stated Licensee was told about deficiencies from 12/11/25 visit.

On todays visit, LPA Mallett observed the following deficiencies have not been corrected:

Section: 87303 (a) Maintenance and Operation. Due Date: 12/12/25

The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. On 12/11/25 it was observed that the smoke detectors throughout the facility (living room, hallway, one resident room and staff room) were either missing or non operational.

On today’s visit, LPA Mallett observed that the hallway smoke detector near the bathroom was still missing. LPA not able to check smoke detector in Staff room near breakfast nook as the room was locked and Licensee did not leave keys for Staff. Staff reported Licensee instructed staff to repair smoke detectors but staff does not have access to the locked room where one broken smoke detector is located. Staff stated they have been unable to go to the store . Staff was able to locate a spare smoke detector and the smoke detector near resident's room was fixed during visit. Deficiency was not able to be cleared today due to not all smoke detectors in facility being operable. Civil Penalties issued on today’s visit in the amount of $700.00 for the period 12/13/25 through 12/19/25 and will be on going until the deficiency is corrected.