Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho made a subsequent visit for the purpose to issue a citation after observing a deficiency while conducting the 10-day complaint investigation into complaint control number: 22-AS-20230808153628.

At 9:28 am, LPA along with Staff #1 (S1) observed a cockroach in the Medication Room, therefore the preponderance of evidence standard has been met. Program Director Andrew Crawford was informed of the observance of the cockroach upon arrival.

Based on LPA's observation along with S1, a deficiency is being cited as per Title 22, Division 6, Chapter 1 of the California Code of Regulations. See the attached LIC809-D.

An exit interview was conducted with Program Director Andrew Crawford, and a copy of this report including the LIC809-D were provided to Administrator Michael Villarreal via email during today's visit.