Facility Evaluation Report

On 5-15-2026 at 11:30am, Licensing Program Analyst (LPA) Noel WolfPetersen and Licensing Program Manager (LPM) Liza King arrived at this facility unannounced to conduct a case management visit regarding a new client placed at facility on 5-13-2026. LPAs met with the Admin Tammy Isam and explained the purpose of the visit. During todays visit LPA and LPM conduct visits with resident1 (R1). Based on visits conducted, it was determined that all residents noted above moved into facility on 5-13-2026 and has in possession all necessary personal belongings and medications in place. LPA and LPM observed resident in room near lunchtime.

LPA inspected the physical plant including but not limited to the common areas, resident bedrooms; resident bathrooms to ensure compliance with Title 22 regulations. Facility is a Residential Care Facility for the Elderly (RCFE) with a current census of 30 Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. No presence of odor. Several residents were met in the hallways during the tour, were friendly and please with their current living situation, Fire extinguisher was checked last serviced in Oct 2025. LPA did not observe any cleaning supplies or other dangerous items assessable to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. On the Laguna side of the building, 2 of 3 resident bedroom doors could not be locked, 2 bathrooms were locked and were reported as being staff and visitor bathrooms although one was at the end of the hall closest to a residents room and should be unlocked as there were no other bathrooms in the proximity. 3 additional bedooms and 2 bathroom locks were checked and functional on the Marina side of the building. Admin agreed to fix before eod. LPA observed current stipulation posted within facility for viewing. LPA observed personal rights and complaint information posted.

No citations were issued during todays visit, an exit interview was conducted with Tammy. And a copy of the report and technical assistance was provided.