Facility Evaluation Report

Licensing Program Analysts (LPA) Esther Cortez conducted an unannounced Case Management -Deficiencies visit. The purpose of the visit is to issue citations for deficiency observed during the investigation of complaint control #29-AS-20250903113332 . The LPA met with Administrator Roberto Dela Vega Ramirez and explained the reason for the visit.

During the investigation of complaint control #29-AS-20250903113332 the following deficiency was observed: Today at 12:02 PM the LPA was in the first living room walking towards the kitchen/ dinning room/living room area and observed Staff 1 (S1) changing Resident 1 (R1) in the living room exposing R1 in front of two (2) other caregivers, one (1) other resident and the LPA. The LPA observed R1 with their pants down and turned around immediately. The LPA immediately after spoke about personal rights with the staff and best practices regarding incontinence care.

Citation issued, exit interview, appeal rights given.