Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20220531115206. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Mary Jean Alvarado and Licensee Rod Alvarado arrived during the visit.

During the course of the complaint investigation, Administrator confirmed an incident reported by Resident 1's (R1) family on 05/26/2022. Administrator indicates terminating S1 after learning of abuse allegations. LPA did not receive verbal notification or an abuse report/ incident report from facility. LPA reviewed R1's file during the visit and observed the file has only an ID page and admission agreement and is missing all other components.

Based on the observations made during today's visit, the following violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.