Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced case management visit to the facility. LPA met with Designated Substitute Administrator (DSA), Bebina Ortiz. The purpose of the visit was to address deficiency observed during complaint investigation #56-AS-20260724151020 .

Interviews with staff and outside parties reveal that there were health and safety concerns related to Resident #1 (R1), Resident#2 (R2), Resident #3 (R3) that were not reported to The Community Care Licensing Division (CCLD).

On or around July 7, 2026, staff called 911 due to a health concern involving (R1). R1 was taken to the hospital via emergency services. On or around July 21, 2026, R1 passed away at the hospital.

On or around July 3, 2026, staff called 911 due to a health concern involving (R2). R2 was taken to hospital and returned to the facility on July 6, 2026.

On or around July 13, 2026, staff called 911 due to a health & safety concern involving (R3). (R3) had an physical altercation with a family member at the facility.

LPA requested copies of the incident report from (DSA) Ortiz but they stated they did not have a written report.

A deficiency is being cited in accordance with Title 22, Division 6 of the California Code of regulations. An exit interview was conducted were this report was discussed with (DSA) Ortiz. A copy of this report and appeal rights was emailed to Licensee.