Facility Evaluation Report

On 05/23/25 Licensing Program Analyst (LPA) Villegas conducted an unannounced case management visit to issue citation observed during complaint investigation 11-AS-20250423162106, LPA met with Administrator Esperanza Naaktgeboren as the purpose of the visit was explained. During complaint investigation visit on 05/01/25 LPA noted facility failed to provide resident #1 (R1) with packaged delivered to the facility. On 05/01/25 LPA Villegas interviewed Residents #1-9, 2 of 9 residents interviewed stated that packages delivered to the facility are being opened and withheld by facility staff. On 05/01/25 during complaint investigation LPA interviewed A1, and staff #1-2 (S1-S2), during interviews with A1 and S1-S2 it was disclosed that residents are called down to facility lobby to open packages in the presence of staff.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division (6) and Chapter (8) are being cited on the attached LIC 809D.

Exit interview conducted, appeal rights explained, copy of the report was provided.