Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted an unannounced visit to the facility for the purpose of documenting deficiencies observed during the initial investigation of the allegations in complaint reference #22-AS-20230217143103. LPA was greeted and granted entry by caregiving staff and spoke with administrator by telephone.

During the investigation, it became apparent that at least two caregivers and one resident at the facility tested positive for COVID during the month of November 2022. Facility staff did not report the outbreak to the Department as required.

Based on observation, interviews and records reviewed at the facility, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted via telephone and a copy of the report along with appeal rights was provided and left at the facility.