Facility Evaluation Report

LPA Kristin Kontilis conducted a Case Management visit to address deficiencies noted during Complaint Control #29-AS-20250310083615 investigation visit conducted on 4/16/2025. The Case Management visit is being conducted to address CCLD’s concern that the Licensee accepted Resident 1 (R1), a non-conserved individual who currently resides in the locked memory care facility.

Record review and interviews conducted revealed R1 does not have a dementia diagnosis and resident does not require the level of care provided by this facility.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

Exit interview conducted. Copy of report issued. Appeal Rights issued.