Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a case management in conjuction with complaint visits. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit.

During the course of the visit LPA Mendivil was informed that the current listed Executive Director (ED) is on leave with no current return to work date. Per review no LIC 308 for Administrator Designee was provided to LPA Mendivil prior to ED's leave or during the leave.

LPA Mendivil spoke with Robin Aquino, Regional Facility Director, and she stated that she is currently taking over the Executive Director role. LPA Mendivil reviewed active administrator certification list and Robin's certificate expired on 11/14/2025. Per Robin she submitted for recertification today 11/19/2025. Per Robin she stated she is at the facility 2-3 times per week for 3-5 hours per day.

Per Non Compliance Conference held on 09/12/2025 the facility's Licensee and Management Team agreed to the following:

1) The Licensees confirmed that the assigned Administrator will adhere to and perform all administrator duties as outlined in regulation.

2) The Licensees/Designee will increase facility supervision and oversight.

Based on observations made the following is being cited per Title 22. An exit interview was conducted and a copy of this report was provided.