Facility Evaluation Report

On June 18, 2026, Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to conduct a Case Management visit regarding a resident's death. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director (ED) Shannon Howell was present and assisted with today's inspection.

LPA is following up on a self-reported Death Report received by the Orange County Regional Office on June 10, 2026, for Resident #1 (R1). R1 passed away on June 7, 2026 at 12:53pm. On today's visit, LPA, accompanied by the ED, inspected the facility. LPA observed the facility to be clear of any hazards. No health or safety concerns were observed. LPA collected pertinent records for R1 including R1's Emergency and Identification sheet, Physician's Report, Appraisal, discharge paperwork, Admission Agreement, progress notes, list of medications, staff roster, and resident roster.

Per ED, the Death Certificate had not been issued at this time.

Based on observations made during today’s inspection, no deficiencies are being cited. An exit interview was conducted and a copy of this report was reviewed and provided at the time of exit.