Facility Evaluation Report
On November 21, 2024, at 9:15am, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced Case Management Visit to follow-up on an incident report that was self reported from the facility. LPA Kim was greeted and granted entry by staff. LPA explained the purpose of the visit to Marketing Director Shannen Buckholz. During today’s visit, LPA conducted a health and safety check, and there were no imminent health/safety concerns observed. Facility maintained at a comfortable temperature for the residents in care. LPA obtained Staff Roster, Resident Roster, and R1’s records which includes the Physician’s Report, Admission’s Agreement, Emergency Information, Consent Forms, Incident Reports, and Appraisal and Needs/Service Plan. LPA conducted three staff interviews and attempted two staff phone interviews.
No deficiencies were observed during this visit.
An exit interview was conducted, and a copy of this report was provided to the Marketing Director Shannen Buckholz.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction