Facility Evaluation Report

Licensing Program Analyst's (LPA)'s Shawna Doucette and Sarah Hurt at the facility unannounced to conduct a Case Management visit. LPA's met with facility Administrator Maria Perez and explained the purpose of today's visit.

During the course of complaint investigation 24-AS-20250909115322, LPA's reviewed records documenting facility signal system response times. On 08/01/2025 resident in room 137 waited 57 minutes for facility staff to respond to signal system pull chord. On 08/01/2025 resident in room 107 waited 25 minutes for staff to respond to signal pendant push.

The following deficiencies are being cited Per title 22 regulations.

A copy of this report along with appeals rights provided.