Facility Evaluation Report

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregivers Melba Umayam and Royranger Antes.

While at the facility, LPA conducted records review and interviews with staff and residents. LPA had noted that there was no Absentee Notification Plan in place as required by California Health and Safety Code 1569.317. Staff interviews revealed confusion about what an Absentee Notification Plan was or what system/steps the facility has in place should a resident be noted missing from the facility.

One deficiency was cited per California Code of Regulations, Title 22, Division 6 on the attached 809D. An exit interview was conducted with Managerial staff Patrick Condez over the phone, who gave permission to caregiver Antes to sign off on the report. Caregiver Antes was provided a copy of this report and the Licensee/Appeal Rights (LIC 9058). Their signature below confirms receipt of these documents.