Follow-up on corrections·March 17, 2026

Licensing Program Analyst (LPA) Trevor Byrne and Long-Term Care Ombudsman Diane Torres arrived to the facility at 09:57 AM to conduct an unannounced Case Management - Deficiencies visit at the facility today. LPA met with facility staff who contacted the Administrator Carrie Acosta. The Administrator arrived to the facility at approximately 10:50 AM. Entrance interview was conducted and the reason for the visit was explained. The purpose of today’s visit was to follow-up on a self-reported incident that occurred on 02/18/2026. During today’s visit, the LPA and LTCO conducted a physical plant tour, conducted a file review for one (1) resident, interviewed three (3) residents, and interviewed the Administrator between 10:02 AM and 12:00 PM. On 03/12/2026 Community Care Licensing Division (CCLD) received a self-reported incident report regarding an incident that occurred on 02/18/2026. LPA interviewed the Administrator and asked why the reports were not submitted to CCLD in a timely manner. Administrator explained that they waited to submit the incident report because they were waiting to see if the resident would be returning to the facility. LPA informed Administrator that a written report shall be submitted to the licensing agency and to the person responsible for the resident within seven (7) days of the occurrence any incident which threatens the welfare, safety or health of any resident. Administrator confirmed that they are aware of the reporting requirement and agreed to submit a written statement confirming that they will submit all future incident reports to CCLD within the required timeframe. CONTINUED ON LIC 809C. During the physical plant tour LPA and LTCO observed the staff bedroom of the facility to be unlocked. LPA and LTCO observed unsecured cleaning supplies in the staff bedroom including a bottle of floor cleaning chemicals. LPA informed the Administrator that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. The Administrator expressed understanding and secured the chemicals at the time off the visit. Pursuant to Title 22, California Code of Regulations, the following deficiencies were cited (refer to LIC 809-D.) Exit interview conducted and copy of the report and appeal rights were issued.