Facility Evaluation Report
Capacity130
Census89
Date signed04/08/2024 03:17:08 PM
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint #22-AS-20240402090752. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the complaint investigation, LPA reviewed Resident 1's (R1) file. The resident does not have a physician report on file.
Based on the observations made from today's visit, deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided to Administrator as well as Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction