Facility Evaluation Report
Capacity180
Census90
Date signed11/20/2025 02:45:18 PM
Name of licensing program analystAnthony Loera
Name of licensing program managerKimberley Mota
Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Case Management - Incident visit and met with Resident Services Director, Jocelyn Vahle. The purpose of the visit was to follow up on a self-reported incident that was submitted to Community Care Licensing (CCL).
CCL received an incident report on 10/27/2025. Report states on 10/20/2025 staff observed an opening on resident (R1) buttocks. Kaiser home health came out on 10/22/2025 and determined R1 has a stage 2 pressure sore.
Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Resident Services Director .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction