Facility Evaluation Report

Licensing Program Analyst (LPA) Yolanda Delgado is conducting an unannounced case management visit on this date to check on the health, safety, and welfare of clients in care. LPA learned that forty-four (44) clients reside in Assisted Living and fifteen (15) clients reside in Memory Care at this facility. There are seven (7) staff on duty currently for the areas.

During this visit LPA obtained information through interviews, facility staff are providing care outside of their scope. LPA conducted interviews with individuals who had knowledge of this information. In addition, LPA toured the facility and found no immediate H&S concerns present during today’s visit.

Based on the information obtained today, one (1) deficiency is being issued per Title 22, Division 6, Chapter 8, Article 11, Section 87629(a)(1) of the California Code of Regulations.

This report, LIC809D and Appeal Rights was reviewed with Georgianna Mendez, and copy provided at the time of exit.