Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived to the facility at 02:22 PM to conduct a case management - deficiencies visit at the facility. LPA met with facility staff who contacted the Administrator Carrie Acosta. The Administrator arrived to the facility at 02:26 PM. Entrance interview was conducted and the reason for the visit was explained.

During today’s visit, the LPA conducted a physical plant tour and interviewed one (1) resident between approximately 02:30 PM and 04:15 PM.

During the physical plant tour LPA observed two (2) emergency exit doors attached to resident bedrooms #3&4 to be barricaded shut from the outdoors. LPA observed two (2) metal bedframes, a garden hose reel, and a rope positioned outside of the emergency exit doors which blocked the emergency exit. LPA observed the two metal bed frames to be positioned at an approximately 60 degree angle with the edge of the bedframe positioned under the door handle in such a way that the door appeared to be deliberately blockaded from the outdoors of the facility. LPA asked the Administrator why the doors appeared to be barricaded. The Administrator stated that they had a previous resident who exhibited exit seeking behaviors and often attempted to leave the facility. The Administrator stated that facility staff may have placed the items in that way to prevent the resident from utilizing the emergency exit doors as a way to leave the facility without staff knowing. The Administrator stated that that resident no longer resided at the facility. LPA notified the Administrator that under no circumstances should the exit doors to the resident bedrooms be barricaded to prevent resident egress and having done so constituted a violation of the facility’s fire clearance. The Administrator had the barricades removed from the doors at the time of the visit. LPA notified the Administrator that an immediate civil penalty in the amount of $500 is being assessed on today’s date (07/16/2026) for a violation of health and safety code (HSC) section 1569.149. CONTINUED ON LIC 809C.