Facility Evaluation Report
On 01/30/2026 Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit in regards to complaint 56-AS-20250808100431. LPA met with facility staff and explained purpose of visit.
During investigation of complaint, it was revealed Staff #1 (S1) was not associated to facility until 9/25/2025, however, S1 became employed several months prior to association. Additionally, Resident #1 (R1) care plan was not complete.
Based on the observations made during today’s visit, deficencies were cited per Title 22, Division 6, of the California Code of Regulations.
An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Administrator Arjan Marlo Banez. Along with a copy of the appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction