Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance and to clear citations issued during their annual inspection. LPA Lopez identified herself and was granted entry by resident Mark Hobbs. LPA met with licensee Norma Tomas and discussed the purpose of today’s visit.

On 10/06/2025, the facility was issued two citations during their required annual inspection. The first citation was for Reappraisals, §87463(h). The facility agreed to have updated medical assessments for their residents by 10/06/2025 and submit documentation to LPA by the due date. The second citation issued to the facility was for not having a certified administrator with qualifications, §87405 (a). The facility agreed to have the facility manager register for CEU classes, submit the class registration to LPA by 11/06/2025, and submit their certificate at a later date.

During today’s visit, LPA reviewed the documentation for the CEUs and deemed the citation to be cleared. LPA reviewed and observed that one out of 3 residents had their physical exam completed, and the other 2 residents denied going to their PCP for their yearly Physician’s Report. Both residents had a note in their file noting their refusal. The POC’s were deemed cleared during today’s visit. Although the POCs are deemed cleared during today’s visit, the facility is being assessed Civil Penalties for failure to correct citations by the POC due date, 11/06/2025.

No new deficiencies were observed or cited during today’s visit.

An exit interview was conducted, and a copy of this report, civil penalties (LIC421) for failure to correct, along with Licensee Rights (LIC 9058 03/22) were provided to licensee Norma Tomas at the conclusion of the visit. The signature below confirms receipt of these documents.