Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a POC case management visit and was greeted by concierge. LPA met with Administrator Sanjay Kabadi

On 2/19/26 facility was issued a citation on substantiated complaint findings of deficiency of Health and Safety Code 1569.269 (complaint # 21-AS-20260109140715). The plan of correction required facility to: Facility to submit plan identifying why response times are delayed and the method of correction facility will implement in order to correct the delays in call button/pendant response time, by plan of correction due date. Additionally, facility to ensure that pendant/call button system is in good repair, fully operational, and staff is sufficient to timely answer pendant/call button calls, by plan of correction due date. Facility to submit paperwork of pendant/call button system implementation and log showing that pendant/call button system is in good repair and fully operational, by plan of correction due date. Plan of correction was due 3/5/26.

On 3/4/26 LPA received from facility the plan identifying why response times are delayed and the method of correction facility will implement in order to correct the delays in call button/pendant response time. However, as of today, 3/10/26 CCL has not received paperwork of pendant/call button system implementation and log showing that pendant/call button system is in good repair and fully operational. Therefore, a civil penalty is being issued for failure to correct for the period of 3/6/26 through 3/10/26 at $100 per day for a total of $500. The $100 per day civil penalty will continue to accrue until the deficiency is cleared. Per Administrator, facility has decided the vendor with whom they will purchase the new pendant system but have yet to sign the contract and begin implementation. Administrator will advise LPA once implementation has been completed. Once implementation is complete, facility will immediately train staff on new system and submit log to CCL showing system is fully operational and responses are timely.