Facility Evaluation Report
Capacity95
Census75
Date signed10/05/2023 03:59:19 PM
License Program Analyst (LPA) Hansen arrived unannounced to open a complaint at facility and conduct a case management of facility and met with Business Office Director Liz Alfaro and Sammy Howeidy, Memory Care Director regarding unsigned documents.
During complaint investigation LPA was informed resident (R1) did not have a signed Admissions Agreement. Which is a violation of regulation 87507(c). Facility will obtain a signed admissions agreement from all residents.
LPA is giving facility a technical violation for not following California Code of Regulations Title 22, of Division 6, of California Regulations 87507(c).
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction