Facility Evaluation Report
On 3/19/2026, Licensing program analysts A. Martinez and E. Conchas made an unannounced Case Management Visit regarding complaint 56-AS-20251118110559. LPA met with Irene Creighton, Administrator, and explained the reason for the visit.
LPAs conducted a facility tour and collected pertinent documents.
LPAs observed the staff did not have air conditioning on in the facility. LPAs observed caregiver place fans in dining and living rooms after mentioning malfunctioning air conditioning equipment. Interview with Staff 1 (S1) revealed yesterday, 3/18/2026, at approximately 8:00 PM, another staff member observed a leak in the restroom and called management to make them aware of the problem. According to S1, licensee contacted a contractor to repair the air conditioner and will schedule a visit to fix the problem. LPAs observed inside facility temperature to be 78- 81 degrees Fahrenheit. LPAs advised staff that the air conditioning unit needs to be repaired expeditiously and to provide fans to all residents to ensure facility temperature does not exceed 85 degrees Fahrenheit. Upon LPAs visual inspection of the restroom of the ceiling reveals a hole, approximately 4ft by 2.5ft wide, with localized speckled patches of black growth on wood substructure. LPAs did observe a maintenance man arrived at the facility to fix the AC.
Based on observation, record review a deficiency was cited by 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 report were provided to Irene Creighton.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction