Facility Evaluation Report

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced case management visit. Irene Formentera was informed that, as part of complaint investigation 11-AS-20260130130622 the following observations were made.

The auditory alert device at the front entry was turned on; however, at approximately 10:40 AM, staff member S4 turned the device off, and it was later turned back on at approximately 12:00 PM.

Per the licensee’s care plan and Title 22, Division 6, Chapter 8 – Care of Persons with Dementia, the auditory alert device must remain active at all times. Failure to maintain this device continuously poses a immediate health and safety risk to persons in care. The Area Manager was informed that the auditory alert device should not be used intermittently.

Based on these observations, a citation will be issued for noncompliance with Title 22 regulations on the LIC809-D

An exit interview was conducted, and a copy of the report was provided to Area Manager- Irene Formentera at the conclusion of the visit with appeal rights.