Facility Evaluation Report

On July 14, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required continuation annual visit. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Imelda Estrella. LPA spoke with Licensee (LI) Lawrence Lindsey over the phone and explained the purpose of the visit. LI Lindsey said they could not attend today’s visit and CG Estrella can sign for the report on their behalf.

LPA Bentley toured inside and outside of the physical plant with CG Estrella. The resident bedrooms were inspected and contained all the required elements. Bathrooms were found to be clean and operational, however, there were no slip mats available at the time of the initial tour.

During today’s visit, interviews were conducted with five (5) residents and one (1) staff during today’s visit. Medication and Medication Administration Record (MAR) reviewed. LPA Bentley conducted an audit of five (5) resident files (R1-R5) and three (3) staff files (S1-S3). Based on observation, interview, and record review, licensee did not ensure annual training was complete/up-to-date for three staff members, three residents do not have bed rail orders on record, Needs and Appraisal forms are incomplete for five residents, Centrally Stored Medication Administration Record is incomplete, Slip mats were missing in three bathrooms and later provided.

Based on today’s observations, deficiencies are being cited as per Title 22 Division 6 Chapter 8 of the California Code of Regulations.

An exit interview was conducted and a copy of this report, LIC809-D, Technical Violations, and appeal rights were provided to Caregiver (CG) Imelda Estrella.