Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to continue the annual inspection from 3/28/22. LPA met with Geline Artuz and later joined by GAOIRAN, CHRISTIAN

LPA was able to open document sent to the email address provided to verify staff information as well as the residents information for R1 and R2. During the inspection today the facility sent over information for R1 that is not dated or signed. The information for R2 is not complete and is missing the signature for the physician on the LIC 602 Physician's report. This information was cleared by Administrator.

S1 is not associated to this facility. This was verified by the department's Office tech on 3/29/2022.

Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies were observed during this inspection. Civil penalties assessed. The 809 D page is attached to the report dated 3/28/2022 as this is a continued inspection from that date.