Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct a case management visit. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Brian Keys and discussed the purpose of the visit.

During the course of the investigation for complaint control number #22-AS-20250902095612 it was revealed by 2 of 5 staff that emergency personnel were not given necessary documentation for Resident #1 (R1) until they were leaving the facility to transport R1 to the hospital.

Based on today's visit California Code of Regulations are being cited on the attached LIC9099D. An exit interview was conducted and a copy of this report, clearance letter, LIC9099D and appeal rights were left at the facility.