Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management – deficiencies visit. LPA met with Administrator, Virgil Valin.

During a complaint investigation for control number: 26-AS-20220411150326, a violation was observed.

Based on record review, the incident with resident (R1) occurred on 04/06/2022. The Licensee did not submit the incident report until requested on 04/19/2022. The Department received the incident report 7 days after the occurrence date.

A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D.

This report was reviewed with Administrator, Virgil Valin and a copy of the report and appeal rights were provided.