Facility Evaluation Report

Licensing Program Analyst (LPA) Blanca Gonzalez conducted a Case Management visit at the facility to collect documents requested during the annual conducted on 02/27/26. LPA was greeted by staff, and the purpose of the visit was explained.

During today’s visit, LPA requested and obtained staff and client roster. LPA toured the physical plant and reviewed resident facility files, and staff facility files.

During the physical plant tour, LPA observed a bottle of isopropyl alcohol on the counter top in the hallway and two (2) 1- gallon cans of paint under the bathroom sink in an unlocked cabinet, accessible to residents in care. Deficiency cited. Civil penalties issued for a repeat violation within 12 months.

During file review, 1 staff did not have a facility file and was not associated to the facility. Interview with staff revealed it was their first day and documents had been submitted to the administrator prior to beginning. LPA was able to verify staff had background clearance on Guardian. Deficiency cited. Civil penalties issued for not obtaining a criminal background clearance transfer.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed today are indicated on the LIC809D page.

Exit interview was conducted and a copy of this report, civil penalties and appeal rights were provided to Caregiver Eldie De La Rosa.