Facility Evaluation Report

This unannounced case management visit is being conducted by Licensing Program Analyst (LPA) Ruth Martinez to follow up on an incident reported to Community Care Licensing. LPA arrived at the facility was greeted by receptionist and granted entry. LPA met with Zehra Syed, Executive Director and explained the purpose of today’s visit. Incidents were self-reported on August 25, 2025, regarding resident (R1’s) incidents on August 15, 2025.

During today’s visit, LPA completed resident file review, toured the physical plant of facility, and obtained copies of pertinent documents.

On August 15, 2025, resident (R1) was in their apartment when they called for assistance. Upon arrival staff was advised by R1 that they were having severe chest pain and difficult breathing. R1 explained pain might be due to the fall they had on August 13, 2025, in which staff were aware of. Staff were aware of the fall that occurred on August 13, 2025, and at the time of fall R1 did not complain of pain or discomfort. R1 was placed on monitoring and R1 did not complain of pain till two days later. Staff called paramedics immediately and resident was sent out for further evaluation. R1 was noted to be doing well and recovering. R1 has had no further incident since the date of the incident.

LPA found that the facility acted appropriately and in a timely manner to address the incident and all other immediate attention to injuries in question. LPA did not observe any immediate and/or safety risks in or out of the facility.

Based on the observations made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations .

This report was reviewed with Executive Director, and a copy of the report was furnished to the facility.