Facility Evaluation Report

On 10/23/2025 at approximately 9:00AM, Licensing Program Analyst (LPA) Jose Anguiano conducted a case management visit.

LPA observed that staff were answering incoming calls during the visit. However, interviews with staff revealed that they had not received training on how to operate the newly implemented cordless phones, including how to transfer calls to the memory care unit line. Although two staff had signed the “Employee Phone Responsibility Acknowledgement” form, they were unable to demonstrate knowledge of how to use the phone system. The facility was unable to provide documentation showing that staff had been trained on the specific procedures for transferring calls or assisting residents with phone use. As a result, calls intended for residents in the memory care unit may not be properly routed, potentially affecting residents’ ability to receive calls from family members or emergency contacts. This lack of training and procedural clarity impacts the facility’s ability to provide comfortable accommodations and equipment as required under Title 22 regulations.

A Type B deficiency is being cited under Tittle 22 regulations section 87468.1(a) (2) for failure to ensure residents are accorded dignity in their personal relationships and provided with safe, healthful, and comfortable accommodations and equipment.

An exit interview was conducted with the Administrator. A copy of this report, along with the LIC 809D and appeal rights, were provided.