Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced Case Management-Deficiencies inspection visit at the facility today due to deficiencies observed during the investigation of complaint control #29-AS-20210930102747.

On 10/06/2021, at 10:20 a.m. while LPA Urena, and Assistant Administrator conducted a tour of the facility, the LPA observed holes in the walls, and ceilings with some wiring exposed. Assistant Administrator stated that the call system wiring was being updated. LPA observed holes in the hallways’ walls and ceilings, as well in residents’ rooms and observed holes in the walls and ceilings right above the headboard and next to the bed. The holes remained open for approximately a period of three months, and the facility did not put up any type of plastic barrier to prevent debris from dropping from the holes while in the process of waiting for the repairs.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D).

Exit interview conducted, today's reports and appeal rights were reviewed and issued.