Facility Evaluation Report
On 12/17/2025, at 00:00, Licensing Program Analyst, LPA Zina Brown conducted a Case Management for complaint Control Number 11-AS-20251201153121 . LPA met with Joel Niblett (Administrator) as the purpose of the visit was explained.
On 12/02/2025 between the hours of 8:55am – 4:15pm LPA conducted an initial unannounced complaint investigation in regards to a resident sustained an unstageable pressure injury due to staff neglect/lack of supervision.
Based on records review the facility retained Resident 1 (R1), who had a unstageable pressure injury which is prohibited by title 22 regulations. The facility failed to submit an exception request from the department to retain R1.
Deficiency cited under California Code of Regulation Title 22 Division 6 Chapter 8 are being cited on the attached LIC 809-D.
Exit interview conducted with Joel Niblett (administrator), and copy of this report was provided with appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction