Facility Evaluation Report
Capacity93
Census89
Date signed11/15/2025 12:14:03 PM
Name of licensing program analystAlberto Lopez
Name of licensing program managerLisa Hicks
Licensing Program Analyst (LPA) Alberto Lopez conducted subsequent unannounced complaint visit to deliver findings for an allegation addressed on 9099. LPA met with Maddison Guardian, Medical Technician and discussed the purpose of the visit.
During record review of R1 records, LPA observed that R1 LIC602A dated 08/29/2025 did not clearly indicate if resident can administer own injections and test glucose levels as it was marked N/A on page 8 , #6 under Medication Management b. and c.
Deficiency cited and citation issued on 809D
Exit interview conducted and copy of report, 809D and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction