Facility Evaluation Report

Unannounced Plan of Correction visit made out to this facility on 10/15/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Knicole Carbonell. A brief interview was conducted with the facility staff person at this time. This LPA requested that they go ahead and contact the facility designated Administrator to inform her that CCL was present at this time.

The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 10/03/2025. This visit was to follow up on the Plan of Correction that was due.

The following deficiencies were observed and cited on 10/03/2025:

All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: (2) Bedridden persons

The department shall adopt regulations to require staff members of residential care facilities for the elderly who assist residents with personal activities of daily living to receive appropriate training. This training shall consist of 40 hours of training. A staff member shall complete 20 hours, including six hours specific to dementia care, as required by subdivision (a) of Section 1569.626 and four hours specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696, before working independently with residents. The remaining 20 hours shall include six hours specific to dementia care and shall be completed within the first four weeks of