Facility Evaluation Report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of a health and safety check on Resident #1 (R1) who has not paid rent for multiple months and is not cooperating with the facility’s attempts to reassess R1 to ensure R1’s needs are met. LPA was joined by Witness #1 (W1), a social worker from the Orange County Social Services Agency, Witness #2 (W2), the assigned Long Term Care Ombudsman, and Witnesses #3 (W3) and #4 (W4), officers from the Orange County Sheriff’s Department. LPA met with Wellness Director (WD) Mink Medina and explained the purpose of the inspection.

During the inspection, LPA conducted a health and safety check on R1, interviewed R1 and WD, and discussed the following items with W1, W2, W3, W4, and WD:

The next steps to be taken in assessing R1 and ensuring R1 continues to receive the care and supervision they need.

Additional time to complete these steps before the eviction is completed.

Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.