Facility Evaluation Report

This unannounced POC inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of verifying correction of deficiencies issued during the Case Management – Deficiencies inspection conducted on June 11, 2025. LPA met with Administrator (AD) Michelle Song and explained the reason for today’s inspection. During the inspection, LPA inspected the facility, conducted health and safety checks on residents present, and observed no health and safety issues. During the inspection, LPA and AD observed the following:

Type A Violation cited under California Code of Regulations (CCR) Title 22, Section 87208(a) pertaining to the third floor memory care with delayed egress has been CLEARED. During the inspection, LPA confirmed that the delayed egress system has been permanently deactivated and AD previously stated that the residents on the third floor do not need to be in a memory care and that any that did were relocated to the first floor memory care.

Type A Violation cited under Health & Safety Code (HSC) section 1569.605 pertaining to liability insurance has not been cleared. The facility has not provided proof to LPA that the facility has obtained liability insurance that meets the requirements.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report, clear letters for all citations cleared during this inspection, and appeal rights was discussed with and provided to facility representative.