Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced visit at the facility in conjunction to an investigation of complaint control # 29-AS-20250224124702. LPA arrived at 8:57AM and met with the Licensee Myline Olivas and explained the reason for the visit. Entrance interview conducted.

During today’s visit, LPA Huynh and the Licensee conducted a tour of the physical plant areas at 9:12AM to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was then determined:

During the investigation of complaint control # 29-AS-20250224124702, LPA Brian Balisi and Quoc Huynh discovered the Licensee accepted and retained Resident #1 (R1) with a prohibited health condition. R1 had gastrostomy tubes that aided R1 with their feeding. R1 was admitted to the facility on 02/14/2025, and during the admission, was not on hospice due to being discharged from the hospital the same day. R1’s representative stated they signed hospice documents after R1 was admitted to the facility. Solid Hospice confirmed that R1 was admitted to their services on 02/14/2025 in the late afternoon, after the admission, and discharged on 02/15/2025 due to onboarding with another hospice agency. Full Care Hospice confirmed R1 was admitted on 02/15/2025 and discharged on 03/09/2025. The Licensee admitted to LPA Balisi during an interview that staff at the facility did not know how to operate R1’s gastrostomy tubes which resulted in the tubes jamming.