Facility Evaluation Report

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit. LPA was greeted by and met with Executive Director Sam El Rabaa, to discuss the purpose of the visit.

Today's visit is in response to the self reported incident of Resident 1 (R1) who suffered a medication error (See LIC811 Confidential Names List).

LPA interviewed staff and residents and collected records and a wellness check was completed. Deficiencies were cited per California Code of Regulations, Title 22 (refer to the attached LIC809-D). A Plan of Correction was jointly developed with the Licensee.

An exit interview was conducted with Executive Director Sam El Rabaa, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.