Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a fire clearance plan of correction, delivered investigative findings to complaint control # 08-AS - 20260424113831, and, in conjunction, conducted this legal/non-compliance visit for updates. LPA identified herself and was granted entry by receptionist Angel. LPA stated the purpose of the visit and reviewed the basic elements of this visit with Executive Director Amber Rodgers.

During today’s visit, LPA Lopez spoke with residents, staff, and outside sources, and requested and obtained relevant documents pertinent to this visit.

On 8/7/2026, facility timecards were reviewed, which indicated that one staff member (S1), noted as a medtech, worked in the facility on at least 16 occasions from 7/12/2026 to 7/30/2026. A review of Guardian indicates that S1 was not associated with the facility until 7/31/2026. The remaining staff members who were observed working in the facility today were confirmed cleared and associated with the facility. One Type A citation was issued [see attached LIC 809(d)], and a civil penalty of $100 per day was assessed for a violation of Health and Safety Code § 1569.17. As the staff member was present for five (5) or more days without a clearance transfer, the maximum civil penalty of $500 was issued [see attached LIC 421 BG]. The ED was also advised that a repeat violation of the same regulation within twelve (12) months will result in additional civil penalties of $100 per day, up to a maximum of 30 days ($3,000) per subsequent violation.

During the visit, the facility was also cited for insufficient staff [see corresponding report for complaint control number 08-AS-20260424113831.