Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to deliver investigative findings and in conjunction, conducted this case management visit. LPA identified herself and was granted entry by Annmarie Salazar, Resident Service Coordinator. LPA stated the purpose of the visit and reviewed the basic elements of this visit with Executive Director Abraham Botello.

During the Department’s investigation of complaint control # 08-AS-20250403173506, there were additional discrepancies found, which are being addressed during today’s visit. During the investigation, which consisted of interviews with staff and residents, and records review of relevant documents, the investigation uncovered that the facility documents for residents needed to be updated.

During today’s visit, LPA spoke with the Executive Director Botello and reviewed the following California Code of Regulations: 87208 Plan of Operations, 87458 Medical Assessment, 87101 Definitions, and 87463 Reappraisals. LPA also provided the Executive Director with the Department’s flyer for Important Updates to Dementia Care and Miscellaneous Changes , which took effect January 1, 2025. The flyer had a QR code that directs the recipient to the Department’s website and informs the viewers of updated regulations that impact RCFE facilities. Additionally, the facility did not report the incident that transpired on April 1, 2025, until LPA opened the investigation on April 10, 2025.

Based on the information obtained during the investigation, an additional deficiency was observed and cited, and technical advisories were provided which may be reviewed on the LIC809-D and LIC9102TA pages of this report.

The report was discussed, and an exit interview was conducted with Executive Director Abraham Botello. A copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Executive Director Botello at the conclusion of the visit. The signature below confirms the receipt of these documents.