Facility Evaluation Report

Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to conduct a Case Management visit on 7/7/25 at 9:30am LPA stated the purpose of the visit.

Administrator claims In regard to the service plans that show "CNA", it is automatically generated by the program we are using which is Alis.com. When it is pertaining to staff in general, not just caregivers, it will show "staff". If it pertains to the caregiver, it will show "CNA".

Based on emails received by the department the facility is listing care staff as CNA'S when they are not certified nursing assistants. The preponderance of evidence standards has been met.

Per California Code of Regulations, Title 22 Division 6, Chapter 6, deficiencies are being cited during this visit. If any deficiencies are not corrected by the noted due dates; civil penalties may be assessed.

The acting administrator was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. Exit interview held, Appeal Rights discussed, Copy of report given.