Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20250625143358. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, it was reported that R1's family did not receive the final refund after the resident's death until 06/06/2025. LPA reviewed correspondence between the facility and responsible party dated 05/19/2025 indicating the refund had not been made. Resident's belongings were moved out of the facility on 04/21/2025.

Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with Administrator Westphaln.