Facility Evaluation Report
Capacity157
Census110
Date signed07/29/2022 08:24:50 AM
LPA conducted an unannounced visit regarding Complaint 31-AS-20200731134509 and completed a tour of the facility. At 11:30 am, LPA entered the dining hall and observed three caregivers were not wearing a mask. Upon walking into the hallway on the first floor, LPA observed two staff members were not wearing a mask.
Based upon LPA's observations, the allegation is substantiated. Pursuant to Title 22 Division 6 of the CA Code of Regulations, a deficiency was cited (refer to LIC 809-D).
Exit interview conducted, Appeal Rights discussed, and a copy of the report was issues to Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction