Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting a case management deficiencies visit. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Khatera Bahadory and discussed the purpose of the visit.

The department received a cross report from OC Public Health stating that there was a COVID outbreak at the facility. The outbreak infected 8 out of 107 residents in care. No staff were reported to having COVID during this outbreak. The facility continued to test for additional cases two times a week. The last known case was identified on June 25, 2025. No additional cases were noted as July 8, 2025.

LPA observed an email reporting the COVID cases on June 27 th , 2025 to OC Public Health. LPA did not observe a report being sent to the Orange County Regional Office regarding the same cases.

Based on today’s visit a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Khatera Bahadory and a copy of this report along with appeal rights were left at the facility.