Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management Visit to cite deficiencies which were identified during a separate visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Justin Mendoza, Administrator.

On 02/07/2025 and on today's date, LPA Holmes reviewed records and conducted a tour of the facility and observed residents in care.

~There weren't any prescriptions for a bed rail on one of the residents beds.

~There weren't any prescriptions for over the counter medications.

~The physical plant was unclean by having several large spider webs in the bathroom

~ Facility also had a broken toilet seat that

~The hot water was over 120 degrees at the time of the visit.

Based on records reviewed, inspection, interviews and LPA observations deficiencies are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D pages)

An exit interview was conducted with Justin Mendoza, Administrator. A copy of this report, the LIC 809-D page and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.