Facility Evaluation Report

On January 6, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced plan of correction visit. Upon entry, LPA met with caregiver, Delilah Nicodemus and house manager, Rosita Padolina. The administrator, Katie Eiseman arrived shortly thereafter and assisted with the visit.

During today's visit, LPA observed sharps are locked and inaccessible to residents in care and there were no medications that were transferred from its original container to a weekly organizer. However, LPA observed one of resident #1 (R1)'s medication did not have a physician order and this observation was made during the case management visit on 12/17/2025.

A civil penalty of $250 is being assessed today for repeat violation.

Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties.

This report is reviewed and discussed with the administrator. A copy of this report and the appeal rights were provided.