Facility Evaluation Report

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20260709085231. LPA met with Staff #1 (S1) Judith Lee and explained the reason for today’s inspection.

During the course of the investigation, LPA inspected the facility, interviewed staff, residents, and witnesses, and obtained and reviewed copies of the resident roster and staff roster.

On June 29, 2026, LPA received written notification that the facility’s administrator has left. During today’s inspection, LPA asked S1 if the facility has a current certified administrator. Per S1, they do not have an administrator certificate, but are in the process of obtaining one, and do not know if the facility has a certified administrator. Based on the information obtained, the facility does not have an administrator.

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 and appeal rights was discussed with and provided to facility representative.