Facility Evaluation Report

Licensing Program Analyst (LPA) Ethel Contreras arrived unannounced for the purpose of a Non-Compliance (NCC) Quarterly visit and was greeted by Caregiver, Maria Rivera facility designee (FD) was present at facility. Administrator Josephine Mendoza was available via telephone.

This facility was placed on a non-compliance (NCC) on 6/24/2025 for a two-year term by Community Care Licensing (CCL); Concerns addressed in NCC meeting on 06/24/2025 were:

- Facility failed to ensure R1’s personal rights

- Administrator Qualifications and Duties

- Change of condition for residents regarding LIC602 and updating Needs and Service Plans

LPA conducted a safety and walk through of the facility indoors and around the premises, finding it at a comfortable temperature, clean, odor free, exits free from obstructions and well organized. Residents were clean and dressed appropriately. There was an ample supply of hygiene products for residents' care. There was also an ample supply of healthy perishable and non-perishable food as required by Title 22. Food labeled with expiration dates. All toxins and chemicals were locked and secure. Medication cabinet was locked. Fire and smoke alarms were tested and operational.

LPA reviewed 5 out of 5 resident files and found all LIC602 and Needs and Service Plans to be up to date. LPA reviewed 3 employee files and all training was found to be up to date.

No deficiencies cited during today's NCC Visit. Copy of report given and read with FD.