Facility Evaluation Report

On 11/20/2023, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced Health and Check on staff and clients who were relocated due to renovation of the floor at the facility. LPA met with Administrator Sally Dela Cueva and explained the purpose of the visit.

On 11/10/2023, Licensing was informed, through voicemail left at desk duty number, by the administrator that all the clients will be temporarily relocated to Hyatt House Belmont due to the renovation of the floor. Administrator was advised by LPA Murial Han to submit a plan to her through email.on 11/13/23, and it was submitted on the same day. On 11/17/2023, administrator was advised that inspection needs to be done by Licensing before residents can move back to facility. Administrator was advised by Licensee that they won’t be able to extend stay in hotel due to budgetary concerns. On 11/19/23 facility relocated residents back to the facility.

Residents are currently in the facility resting upon arrival from Adult Day Program. Facility floor is now repaired and dried, no odors from from repair.

Deficiencies of the California Code of Regulations, Title, 22 are being cited on an LIC809D. Failure to correct the deficiencies may result in civil penalties.

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