Facility Evaluation Report
Capacity220
Census149
Date signed11/22/2025 10:18:02 AM
Name of licensing program analystChristian Gutierrez
Name of licensing program managerDavid Sicairos
Licensing Program Analyst (LPA) Christian Gutierrez generated this Case Management - Deficiencies report in conjunction with complaint control 28-AS-20251104120932 pertaining to observations during record review. The purpose of the report was explained to staff.
During complaint investigation, LPA Gutierrez observed R1 medication log being marked by staff as given for the date of 11/01/2025 even though R1 was not present in the facility.
Based on observation, a citation is being issued. See LIC 809D.
An exit interview was conducted, and a copy of the report and appeal rights were issued.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction