Facility Evaluation Report
On 5/4/2023, Licensing Program Analysts (LPA) Cassie Yang arrived at the facility unannounced to conduct a case management visit regarding an incident report the Department received on 5/3/2023. LPA met with caregiver, Tarachin Elliot, and explained the purpose of the visit. Caregiver then contacted Administrator (Admin), Charles Eguavoen, who arrived to the facility shortly afterwards.
The facility is currently licensed for (6) non-ambulatory, hospice waiver of 2. During today's visit, there are (3) residents, and no residents on hospice services.
At LPA's arrival, LPA observed the fire door on the right wing to be propped open with a door stopper from the bottom. LPA observed caregiver removing it prior to Admin's arrival.
During today's visit, LPA and Admin discussed the importance of contacting emergency medical services when a resident is injured and/or falls.
Additionally, LPA provided Admin a copy of CCR 87203 Fire Safety.
As a result of today's inspection, deficiencies were cited. Civil penalty assessed. Please see LIC 809-D.
Exit interview conducted and a copy of the report and appeal rights was left at the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction