Facility Evaluation Report

On 7/10/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct an unnanounced Case Management health and safety check. LPA Calandra was greeted by Fe Arnaiz, Administrator and explained the purpose of the visit.

LPA toured the physical plant. The facility was found to be clean and at a comfortable temperature with all exits and doorways free from obstruction. Resident’s bedrooms, memory care unit and resident common spaces were inspected. A majority of residents were observed in the common areas with multiple staff present. Upon LPA's arrival, there were 6 staff on shift including the Administrators. LPA toured the outside parameters of the facility and found the area to be free from any hazards.

During LPA's tour of the physical plant, LPA observed that R1 had half bed rails on their bed. LPA reviewed R1's file and did not observe a physician's order for the half bed rail. In the presence of the LPA, the bed rail was removed. A Type A citation was issued for this deficiency.

LPA reviewed 14 resident files. All were observed to be complete.

Deficiency is cited under the California Code of Regulations, Title 22. Failure to correct the deficiency by the due date may result in civil penalties.

An exit interview was conducted. This report was reviewed with facility representative, and a copy of the report along with Appeal Rights left at the facility.