Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a plan of corrections visit. LPA Moleski met with facility administrator Beatrice Clark and explained the purpose of the visit.

During an annual inspection on 5/5/25, LPA Moleski issued citations per 22 CCR Sections 87412(a) for incomplete staff files, 87506(b) for incomplete and/or missing resident files, 87465(h)(6) for centrally stored medication records not being kept, and 87303(e)(2) for hot water temperature controls. LPA Moleski reviewed all of these plans of corrections with Clark. Clark requested extensions regarding these plans of correction until June 2.

During this same visit, LPA Moleski observed an individual present in this facility (S2) during this visit. According to a staff member on duty (S1), S2 was a friend of theirs. S1 did not know S2's last name. S1 said that S2 stayed in their room overnight the night previous. In an interview, S2 provided their name to LPA Moleski, and said they had stayed one night. S2 said that they were not fingerprinted because they were not working as a caregiver. Title 22 of the California Code of Regulations requires that any individual who resides in the facility not receiving care must be fingerprinted and background cleared. A civil penalty in the amount of $100 is hereby assessed due to a violation of criminal record clearance requirements.

An exit interview was held with Clark. Appeal rights and a copy of this report were left with Clark.