Facility Evaluation Report

***Amended... On 5/20/26 Licensing Program Analyst assessed Civil Penalties (CP) in the amount of $1000.00 for failure to correct deficiencies. During that visit, LPA was provided with scheduled training date of 5/28/26 and citation was cleared. Today, LPA returned to remove civil penalties in the amount of $1000. Licensee was advised that moving forward if they feel like that can't meet timeline for POC to communicate with the department to request an extension of their POC timely.

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct this Proof of Correction Visit to follow up on plan of correction not submitted. LPA met with administrative assistant Lisa DiBartolo.

On 4/24/26 LPA issued a citation for substantiated complaint findings on complaint#21-AS-20251224093221 deficiency of regulation 87465(a)(1). The plan of correction required facility to arrange for personal rights training and what medical professionals are best suited to assess residents’ needs with local ombudsman by plan of correction due date 4/24/26. Training to take place no later than 5/8/26, licensee to attend training as well as all care staff and Administrative Assistant. However, as of today, 5/20/26 CCL has not received proof of staff training on regulation 87465 (a)(1) which was due 5/1/26. Additionally, as of today 5/20/26, CCL has not received proof of a Personal Rights training appointment set with the ombudsman or proof of completed Personal Rights training with the ombudsman which was due no later than 5/8/26. On 4/23/26 facility submitted to CCL a “Written Medical Attention & Chain of Command Policy”. However, as of today, 5/20/26 CCL has not received proof of staff training on regulation 87466 “Observation of Resident Policy.” which was due 5/1/26. During today's visit, LPA learned that training is scheduled with Ombudsman for 5/28/26, but the facility failed to notify CCL timely. Therefore, a civil penalty in the amount of $100 per day for ten (10) days, from 5/11/26 through 5/20/26, are being assessed for failure to correct deficiency of regulation 87465(a)(1) for a total of $1000. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Exit interview conducted with Administrator and a copy of this report was given.