Facility Evaluation Report

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to conduct a Health and Safety check of the residents in care at the facility. LPA Rico met with Administrator Christopher Garcia and explained the reason for the visit. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, physical plant, and the residents.

On 9/25/2025 the Administrator was cited for not providing proper documentation to R1's PRN medication. Today 10/9/2025 LPA Rico audit R1's medication and observed PRN medication was not documented properly. The PRN medication did not include the time, reason and result. Due to repeated violation within the 12 months, a civil penalty will be issued. In addition, the facility had documented R1's routine medication was provided, but the current medication on bubble pack did not match R1's MAR.

Based on the observations made during today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC809)(LIC809D)(LIC421FC) was discussed and provided to Administrator Christopher Garcia. Along with a copy of Appeal Rights and Civil Penalty.