Facility Evaluation Report

Licensing Program Analyst (LPA) Christi Coppo conducted an unannounced visit and met with Administrator Kathleen Albano. LPA came to the facility to open an investigation into complaint #21-AS-20250902101530.

While at facility LPA observed pre-poured medications in cups after breakfast had already been served and finished. Admin claims that the pre-poured medications were "left-over" from breakfast. LPA explained that if medications were live-poured, then there would be no "left-over" medications as residents would take them when live poured. Additionally, explained that pre-pouring medication is not in compliance with regulation ( deficiency cited, see 809D ).

Additionally, R1 is with new hospice since 9/6/25, but Admin could not produce copy of hospice care plan. LPA explained that a hospice care plan must be on file for all residents on hospice ( deficiency cited, see 809D ).

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. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.

Exit interview conducted with Administrator and a copy of this report was given .