Facility Evaluation Report

Licensing Program Analysts (LPAs) Sommer Hayes and Arvin Villanueva conducted an unannounced Case Management- Annual Continuation visit today, 5/9/2025, a continuation of the Annual visit initiated on 5/8/2025. LPAs initially met with staff on duty and stated the purpose of the visit. The Administrator, Grace Bernardino was notified of the visit and arrived shortly after.

The LPAs continued with facility visit to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. LPAs conducted medication review for 2 residents in care. LPAs conducted reviews of 3 resident records and 2 staff records. Per review, facility conducts quarterly fire drills. The last drill was 03/10/25. LPAs requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Facility Responsibility and liability insurance.

LPAs provided the following advisories to the Administrator:

-Fence repair of the right side in the backyard.

-PRN authorization letter for all residents.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed based on this annual visit.

Exit interview was conducted and a copy of the report was provided upon exit.