Facility Evaluation Report
On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a case management visit. LPA was greeted and granted entry into the facility and explained the reason for the visit.
The Department received an Unusual Incident/Injury Report on 01/06/2026 for an incident that occurred with Resident 1 (R1) on 12/27/2025.
While at the facility LPA Mendivil requested copies of admission agreement, medication administration records for R1, care notes , physician's report and staff schedule to be emailed to LPA by COB 01/06/2026. LPA toured common areas of the facility. LPA observed Assisted Living residents participating in chair volleyball and Memory Care residents were in the common area watching a movie. LPA did not observe any immediate health and safety concerns during today’s visit. No deficiencies cited at this time.
An exit interview was conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction