Facility Evaluation Report

On March 2, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management inspection. Licensee Polly Valencia was notified via telephone and later arrived to assist with the inspection.

This visit is being conducted in conjunction with complaint #22-AS-20240227123453. During the complaint investigation, Licensee Polly Valencia was interviewed on two separate occasions, regarding the complaint allegations of staff handles residents in a rough manner, and staff spoke in an inappropriate manner to resident. During both interviews, Licensee Polly Valencia denied the complaint allegations and stated that she has not handled a resident in a rough manner and has not spoken to a resident in an inappropriate manner. However, during the complaint investigation, the Department obtained a video recording, which contradicted Licensee Polly Valencia’s statements. In the video recording, Licensee Polly Valencia is observed to be handling a resident in a rough manner when transferring a resident into her bed. The resident is heard groining in the video recording, which suggests it may have caused them a level of discomfort. Licensee Polly Valencia is also heard speaking to the resident in an inappropriate manner. Licensee Polly Valencia is heard telling the resident, "I am disgusted with you", "I am absolutely disgusted with you", and "Shame on you". The video recording directly contradicts the statements that Licensee Polly Valencia made to the Department during two separate interviews. Additionally the actions on the video recording by Licensee Polly Valencia were in itself, inimical to the health and safety of the resident in care.

Based on the information gathered, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with Licensee Polly Valencia. A copy of the report and Appeal Rights were provided.