Facility Evaluation Report

Licensing Program Analyst ( LPA ) Talwinder Bains conducted a case management visit to this facility on 09/16/25. LPA met with Regional Director of Operations, Vanessa Potier Watts and explained the purpose of today's visit.

The purpose of today's visit is to follow up the visit conducted at this facility by the Department of Healthcare Services (DHCS) on 07/08/25. Based on 07/08/25 facility visit, DHCS issued facility’s evaluation report which indicated deficiencies issued to facility as a copy facility visit was received by Community Care Licensing Division (CCLD). The visit today is to address the issues found DHCS facility visit from 07/08/25 that apply to Title 22 Regulations.

Based on the DHCS report, the facility violated the following Title 22 violations:

-The admission agreement for three (3) residents (R1, R2, R3) were not signed upon admission by a resident or an authorized representative and program representative and if resident receive a copy of admission agreement as required.

-Residents records for R1, R2, R3 contained written assessments that did not document that resident’s meal planning, budgeting, and shopping skills were assessed as required.

- Four (4) personnel records for Staff #1, Staff #2, Staff #3 and Staff #4 did not contain documented evidence that the employee(s) had one (1) year of full-time experience, or part-time equivalent, working in a program serving persons with mental disabilities or a documented plan of supervision.

Based on the above, deficiencies are cited pursuant to California Code of Regulations, Title 22 and documented on the attached LIC809D. Exit interview conducted and copy of report, LIC809G and appeal rights provided.