Facility Evaluation Report

Licensing Program Analyst (LPA), Mayra Cota, conducted a Plan of Correction Visit (POC) to follow up on deficiencies cited during annual continuation visit conducted on 7/9/2026. Upon arriving at the facility, LPA met Alisa Dean, Executive Director and explained the purpose of this visit. LPA was provided with copies of staff and resident rosters and a physical plant inspection was facilitated by Executive Director.

The purpose of today’s visit is to follow up on the POCs that were due on 7/10/2026 and and also on 7/17/2026.

The following citations were cleared today:

CCR Section 87705(d) - Care of Persons with Dementia - staff provided proof of scheduled training for staff and date of completion of installation of the door auditory system which was sent to the Director by the Licensee.

CCR Section 87309(a) - Storage Space and Access - LPA inspected the areas of concern and observed the them to be clean and free of obstruction. Director provided a copy of proof of purchase of a tool shed with the ability to be locked.

CCR Section 87465(h)(2) - Incidental Medical and Dental Care Services - LPA inspected resident room and did not observe any unauthorized medication. Director also provided proof of in-service training and review of the regulation with staff.

CCR Section 87307(d)(6) - Personal Accommodations and Services - LPA inspected the areas of concern and observed that the back lot and areas around the outdoor perimeter of the facility have been cleared of debris and obstructions.

CCR Section 87555(b)(29) - General Food Service Requirements - LPA, inspected the kitchen and observed the areas of concern to be clean. LPA also observed that the cooking tools have been cleaned and tray cart has been ordered per proof of purchase receipt provided during today's visit.

Exit interview was conducted with Alisa Dean, and a copy of the report and POC letters was provided.