Facility Evaluation Report

At approximately 10:00 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to initiate complaint investigations for complaints 21-AS-20260703103248 and 21-AS-20260708152015 and to continue the investigation for complaints 21-AS-20260529081037 and 21-AS-20260617095856 . During the course of the inspection, LPA observed a large ottoman blocking the Emergency Exit door at the South-West end of the memory care unit. All emergency egress pathways and exit doors shall be clear and unobstructed. This deficiency will be cited. As this deficiency poses an immediate safety risk to persons in care an immediate Civil Penalty of $500 will be issued. Photographs of the ottoman blocking the exit door were taken.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, LIC-421IM and Appeal Rights discussed and provided to Executive Director Lua. Signature on form confirms receipt of documents.