Facility Evaluation Report

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced case management visit at Carver Senior Homes 1 LPA was greeted, and explained the reason for the visit. LPA Mendivil was met with Isaiah Tashiro

The purpose of today's visit was to deliver complaint findings for complaint control number 22-AS-20221018105523.

During the course of the investigation it was revealed that Staff 1 (S1) and Staff 2 (S2) were not associated to the facility Carver Senior Homes 1.

Deficiencies are being cited during today's Case Management visit.

An exit interview was conducted and a copy of this report, LIC809D, LIC811,LIC 421BG and appeal rights were provided. A CIVIL PENALTY IS ASSESSED.