Facility Evaluation Report

On 5/8/2025, Licensing Program Analysts Sommer Hayes and Arvin Villanueva (LPAs) arrived unannounced at this facility to conduct a case management visit. During this visit, LPAs were initially met by staff on duty (S1) and stated the purpose of the visit. The Administrator Angelita Dayoan (AD) was notified and arrived shortly after. Present upon arrival was 6 residents with 1 staff on duty (S1).

During a complaint visit on 5/8/2025 (Complaint Control #27-AS-20250430122806), LPAs made the following observations: While inspecting the kitchen area, they found the medication cabinet unlocked, making medications accessible to residents in care. Furthermore, during an inspection of the kitchen refrigerator, LPAs discovered a medication (M1) inside the left door, also accessible to residents in care.

Additionally, at the beginning of this visit, there was no qualified staff on duty, except for a staff that is not currently cleared or associated to work at this facility. The AD and other staff arrived later on.

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are cited on the 9099D during this visit.

Licensee was provided a copy of their rights (LIC9058) and their signature acknowledges receipt of these rights. An exit interview was conducted and a copy of this report was provided.