Facility Evaluation Report

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit in conjunction to a 10 day inspection visit for complaint control #22-AS-20240305154314.

LPA Quiroz was greeted and granted entry into the facility by Licensee/Administrator (L/AD) Geisel Sanchez and explained the reason for the visit.

During today's visit, LPA Quiroz along with (L/AD) Sanchez conducted a tour of the interior and exterior of facility premises. While conducting facility tour, LPA Quiroz observed 7 residents in care. (SEE LIC 809-D)

The Facility is licensed to operate a Residential Care Facility for the Elderly, age range 60 and over. Fire Clearance for five (5) non-ambulatory residents and one (1) bedridden resident in room #1 and has a hospice waiver approved for six (6) residents.

The facility is being cited per Title 22, Division 6 of the California Code of Regulations. Civil penalty assessed during today's visit. (SEE LIC 421-IM)

An exit interview was conducted with (L/AD) Sanchez, and a copy of this report, 809-D Page, Civil Penalty, and Appeal Rights were provided at exit.