Facility Evaluation Report

Licensing Program Analysts (LPAs) Seo Jeon, Janira Arreola, Janette Romero, Valerie Flores, and Abdoulaye Zerbo conducted an unannounced visit to the facility to conduct a Plan of Correction (POC) Visit. The purpose of this report is to document the POC previously agreed upon. LPAs met with Business Office Manager Nicole Kalacas Anguiano who was informed of the purpose of the visit. Administrator Teresa Mapilis was also informed of the purpose of the visit. LPAs toured the facility, conducted interviews, and obtained copies of records.

During a case management visit conducted on 06/08/2026, the facility was cited for California Code of Regulations (CCR) Title 22, regulation section 87468.1(a)(3) after LPAs observed four (4) residents in geriatric chairs with a tray table, and interviews conducted revealed none of the residents had the capacity to release the tray tables to exit the geriatric chairs. During the development of the plan of correction created on 06/08/2026, Business Office Manager Nicole Kalacas Anguiano agreed on behalf of the licensee to discontinue using geriatric chairs in the facility immediately and conduct a staff in service. During today's case management visit, LPAs observed two (2) additional residents in geriatric chairs with tray tables attached and both residents were also unable to release the tray tables to exit the geriatric chairs. Facility staff was unable to produce physician's orders for the geriatric chairs during the time of the visit. As a result, the POC has not been met and civil penalties will be assessed for failure to correct the deficiency. The POC shall include immediate discontinuation of the use of a geriatric chairs unless licensee obtains an exception granted by the Department along with a physician's order. The POC shall also include an in-service personal rights training for all staff conducted by outside source to be completed within 30 days and submission of verification that the training was completed. Per Administrator Mapilis, an exit interview was conducted with Medication Technician (MT) Ligaya Carter who was advised that civil penalties would continue to accrue until the plan of correction is met. During the exit interview, a copy of this report LIC 809-D, LIC 421FC, and Appeal Rights were reviewed and provided to MT Carter and emailed to Administrator Mapilis.

Note - LPAs were off site from 4:10 p.m to 5:45 p.m.