Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to the facility on November 24, 2025, to issue deficiencies identified during an unrelated visit. LPA Correia identified herself with Caregiver Pabustan, was granted entry, and explained the purpose of the visit.

During an unrelated visit, LPA observed and obtained information indicating that the facility is retaining bedridden residents in violation of its current licensing limitations.

Specifically, LPA observed and obtained information that confirmed the facility retained six (6) bedridden residents over its current licensing limitation. It was determined residents R1 through R6 are classified as bedridden, and unable to reposition themselves without assistance. R1 through R6's bedridden status were verified through observations and staff interviews and are being retained in the facility without proper fire clearance or licensing approval to serve over one (1) bedridden individual.

An exit interview was conducted with Caregiver Pabustan to whom a copy of this report, a copy of the LIC 811 Confidential names list, LIC 421IM, and Licensee Rights (LIC 9058), were provided.