Facility Evaluation Report
On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced joint visit with IB Investigator Hector Quintanar for the purpose of conducting additional interviews for Complaint Control No. 22-AS-20230718165749 and 22-AS-20230531150652. LPA Tirre met with Licensee Erik Doan and LVN Grace Park and explained the reason for today’s visit.
During the visit, LPA, IB Investigator, and Licensee toured inside and outside physical plant of facility. LPA Tirre and Investigator Quintanar interviewed staff and resident. LPA requested and reviewed copies of the resident roster and staff roster.
During today's visit LPA observed broken glass on the ground outside of Memory care patio walkway. LPA observed feces on walkway wall. LPA also observed Memory care outside walkway had unsecured gate which led to back lot location where facility vehicles are parked. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations.
An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction