Facility Evaluation Report

Licensing Program Analysts (LPAs) David Marrufo and Mita Partoza conducted a Case Management visit and met with Mila Valisto. LPAs visited the facility to conduct a complaint investigation visit.

During visit, LPAs observed that resident R1's latest Physician's Report was completed on 12/05/2019. The Physician's Report stated R1 has a diagnosis of dementia. LPAs also observed resident R2 did not have a Functional Capabilities Form in R2's resident records.

LPAs observed that a plank on one of the exterior wooden hand rails was loose during visit.

An Advisory Note was issued. See LIC9102 for more information.

Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D for more information.

This report was reviewed with Administrator Mila Valisto and a copy of the report and appeal rights were provided.