Facility Evaluation Report

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to continue the Required-1 Year inspection which began on 05/05/2026. LPA met with staff Faith Sisey and explained the purpose of the visit.

At approximately 8:30AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of physician visits were present. LPA conducted a review of medications. Medication is locked and not accessible. LPA observed 1 resident has a G-Tube. The G-Tube care plan documentation was last reviewed 01/2025. LPA observed 1 resident required the use of a hoyer lift. Resident records do not clearly define whether they can reposition themselves in bed. Residents care plan did not address the ambulatory needs of resident. LPA requested an updated medical exam be conducted to ensure resident is within the facilities ability to meet their needs. LPA observed 3 of 4 residents are not capable of ambulating without assistance. 1 of 4 residents is ambulatory and requires nighttime supervision for safety. Care plan did not address these concerns. LPA observed the hot water in resident bathrooms was measured at 130 degrees F.

Administrator was not present during this visit and access to staff records was limited. LPA will return at a later date to review staff records.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Faith Sisey and Appeal rights were given.