Facility Evaluation Report
Licensing Program Analysts (LPAs) Anna Bueno an nd Bianca Wolcott conducted an unannounced visit to the facility for the investigation of complaint number: 56-AS-20240108114146. LPAs met with staff who were informed of the reason for the visit.
During today's visit, LPAs interviewed relevant parties, made facility observations, and reviewed records . It was observed that Resident 1 is located in a room that is labeled as a staff room. This pose as a potential health and safety risk to resident in care. Refer to LIC 809D for deficiency cited.
Technical advisory was provided for additional concerns during today's visit. LPAs phoned Licensee and discussed the concern. An exit interview was conducted where this report, LIC809-D, and appeal rights were discussed with and provided to Rosie Gaxiola.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction