Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting a case management visit in order to issue citations for deficiencies observed during a separate unannounced joint visit made for the initial investigation of the allegations contained in complaint reference number #22-AS-20240925103324.

During the visit, LPA observed a cleaning cart in use in the hallway of the facility's memory care unit on the facility's first level. Cleaning cart was observed to contained powdered bleach and bleach in liquid form, both left fully accessible to memory care residents. Additionally, the memory care laundry area's door was found to be unlocked. An uncovered tub of powdered laundry detergent was observed to be present. A type A citation is cited per Title 22 Division 6 of the California Code of Regulations and documented on an attached form LIC809-D.

A makeshift table made of a wooden platform with a broken glass cover with a sharp edge accessible, balanced on two refrigerators and one cabinet was also observed to be placed in the memory care secure courtyard. A type A citation is cited per Title 22 Division 6 of the California Code of Regulations and documented on an attached form LIC809-D.

An exit interview was conducted and a copy of this report, attached citations along with appeal rights were provided to a facility representative.