Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management Legal/ Non-compliance inspection to this facility and met with Administrator Azeneth Gregoire. LPA was following up on items that were concerning and ensure compliance with Non-Compliance Conference dated 03/18/2026:

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health including, but not limited to, an apparent life-threatening medical crisis. – After resident had a significant change of condition, but no medical attention was sought timely by the facility staff. During today’s visit, LPA reviewed incident logs received from the facility which appears that staff had been responding timely to medical emergencies. Upon LPA's arrival, LPA discovered that there was an auditory monitor in R1's room that could be heard on a monitor in the kitchen. According to administrator, the resident's responsible party requested the facility to monitor with baby monitor since R1 is unable to ring the bell for assistance. LPA explained the regulation to the administrator regarding personal rights and how their family cannot take away R1's personal rights. The facility needs to find an alternative option that do not constitute a violation of R1's personal rights.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given.

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