Facility Evaluation Report

On 01/10/2025, LIcensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to complete the Annual Inspection and met with Administrator Mark Reyes.

LPA Nakagawa completed the Care Tool as well as finished a physical tour of the facility. The kitchen and dining room were inspected while there was no meal service going on. LPA observed that the dining room was clean and sanitary and set up for the next meal service. Tableware was clean and tables included a small decoration. Menus are large and easy to read and diners enjoy tableside service.

LPA discussed medication management and documentation with the Administrator and new Resident Care Coordinator who will be overseeing the training of medication technicians going forward. Due to errors found in medication records and an incident report self-reporting a medication error a deficiency will be given (see 809-D).

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided to the Administrator.