Facility Evaluation Report

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a Health and Safety check. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit.

LPA toured the facility and observed dead roaches in Resident #3 (R3) bedroom, the dead roaches were on roach strips on top of R3’s dresser. LPA asked R3 if they have roaches often, R3 informed LPA yes, they have roaches and the Administrator has a guy that comes to the facility to spray and inspect the interior and exterior once a month. LPA asked R1 if the facility has roaches and R1 also informed LPA that yes, the facility has roaches. R1 has seen one in their room, however R1 stated R3’s room has it worse with roaches. R4 informed LPA they do not have roaches in their room, nor have they seen any throughout the house. LPA overheard Administrator scheduling an inspector to come out to the facility on Monday 3/31/25 to spray.

As LPA conducted interviews it was mentioned the facility does not provide activities for residents. LPA asked Administrator if activities are provided to residents and LPA was informed residents participate in activities at innovage three times a week. Therefore, no activities are not being provided to residents at the facility.

Based on observation deficiencies were cited per Title 22, Division 6 of The California Code of Regulations.

An exit interview was conducted where the Licensing reports were discussed and copies of the reports with Appeal Rights was provided to Administrator Dorris Anderson.