Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced Case Management visit to the facility to conduct a health and safety check on residents in care. LPA was welcomed by, identified herself to, and discussed the purpose of the visit to Executive Director Amber Rodgers.

During today's visit, LPA conducted a health and safety check, reviewed resident records, and interviewed residents. LPA observed Resident #1 (R1) and Resident #2 (R2) to be bedri dden. [See LIC 811 Confidential Name List for a description of select person identifiers used in this report.] R2 reported to LPA that they are bedridden. R1 reported that they are unable to reposition in their bed independently. Additionally, staff reported an another bedridden resident at the facility, Resident #3 (R3). For the purposes of a fire clearance, bedridden means a resident who requires assistance with turning or repositioning in bed. The facility does not have a fire clearance that allows for bedridden residents.

One deficiency is being cited during today's visit in accordance with California Code of Regulations, Title 22, Division 6 (refer to LIC 809-D). This deficiency constitutes a repeat violation within a 12 month period, as a fire clearance violation was previously cited on 4/15/26, which results in the assessment of a Repeat Zero Tolerance Civil Penalty totalling $1,000 (refer to LIC 421IM). A plan of correction was jointly developed with the Executive Director.

An exit interview was conducted with Executive Director Amber Rodgers to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents at the conclusion of the visit.