Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct a Case Management Visit. LPA was greeted and granted entry by Staff #1 (S1) at 8am. LPA spoke with the Administrator (AD) via phone regarding the purpose of the visit. The facility has three residents in care.

LPA toured the kitchen and observed the refrigerator had two-days supply of perishable items. The freezer had a seven-day supply of non-perishable items. LPA observed the utilities were operational. The facility temperature was 70 degrees. The hot water temperature in two of two resident bathrooms was 105.9 to 109.2 degrees Fahrenheit.

The facility has current liability insurance. LPA spoke to three of three staff who stated they were paid for the prior pay period of 2/4-2/18/2026 on March 5. 2026. Staff have not been paid for the current pay period. Staff were unsure what the pay period is currently since it recently changed so that pay dates are on the 7th and 22nd of each month. A Civil Penalty has been issued for 87213 Finances from March 6, 2026 to March 11, 2026. The amount assessed is $100/day X six days for a total amount of $600.

The following deficiency is being cited per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with Staff #1 and a copy of this report was given to the facility along with a copy of the LIC 421-FC.