Facility Evaluation Report

On 04/28/26 Licensing Program Analyst Felisa Shirley conducted a case management inspection at this facility and met with Algel Culala, Caregiver. LPA was conducting a complaint investigation for 11-AS-20260422095106 on 4/28/26, when it was discovered, that facility staff failed to meet Title 22, Division 6, Chapter 8 section 87506 in providing the Resident records for review to investigate the complaint.

The resident, (R1) named in the complaint received services at this facility name and address from 5/22/25 to 6/20/25, as S2 states that R1 was never a resident at this facility. The Licensee/Administrator failed to provide records to verify residency. The facility is required to make resident files available to Licensing for review. Licensee is in violation of Title 22 regulations for not providing resident records for R1.

Deficiencies are issued and plans of corrections were discussed. Plan of corrections are to be submitted on or before 05/12/26.

An exit interview was conducted with Algel Culala, Caregiver, and a hard copy of this Facility Evaluation Report was provided.