Facility Evaluation Report

LIcensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to complete the Annual Continuation Inspection. LPA was granted access by care staff who contacted Mary Grace DeFeo, Resident Care Director, who arrived shortly. Administrator and Licensee were both called but unavailable at the time of visit.

LPA found 5 residents and 2 care staff at the facility. The facility was clean and sanitary and residents appeared to be well-cared for, clean and resting in beds with clean linens and rooms furnished appropriately.

There were 2 residents on hospice, which is within the guidelines of the license issued. Deficiencies are being issued for visit on 1/16/2025 finding resident (R1) found with a prohibited condition; and no hospice or proper care plan documentation found in resident records. (See attached 809-D).

Technical Advisories issued on 1/16/2025 were being corrected and near completion.

Deficiencies cited from the Health and Safety Code and California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiencies and/or repeat deficiencies within a 12-month period may result in civil penalties.