Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20260731114430 ) . The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigation unrelated to the complaint. During today’s visit, LPA met with staff and the reason for the visit was explained. Administrator arrived shortly after.

During today's visit, LPA determined that Resident #1 (R1) uses a continuous glucose monitor. R1's Physician's Report dated 10/16/2025 indicates that R1 is unable to perform their own glucose testing. Interviews and record review revealed that facility staff have been applying R1's continuous glucose monitor, which requires insertion of a sensor, and recording R1's glucose readings since September 2025. LPA did not observe a physician's order authorizing daily glucose monitoring.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Failure to correct may result in civil penalties.

During the visit, the Administrator informed LPA that they needed to leave the facility due to a prior appointment. The Administrator stated that available facility staff were authorized to sign documents on their behalf.

Exit interview conducted, and a copy of this report and appeal rights were provided.