Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Shanice Downer, to conduct a POC visit to follow-up on deficiencies previously issued.

LPA received plan of corrections (POCs) prior to visit regarding citations issued on July 15, 2026. LPA observed that documents obtained did not follow instructions regarding POCs agreed to on July 15, 2026. LPA spoke with Overseer, Christina Allen, via telephone call to inform Overseer that POCs need to be submitted to the Department that reflected the instructions documented with the deficiencies issued on July 15, 2026. LPA will need to initiate civil penalty process if they do not receive POCs in accordance with the deficiencies cited on July 15, 2026.

During visit, LPA observed floors to be dirty in multiple resident rooms, kitchen, and common areas. LPA observed resident's bedroom floors to be dirty as a result of incontinence needs. LPA also observed bagged trash on floor in resident's room.

As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. A civil penalty in the amount of $250 was assessed for today's date due to repeat violation. Deficiency is listed on 809-D page.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.