Correction check·January 15, 2026

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced plan of correction (POC) visit at the facility to follow up on deficiencies noted on 12/29/2025 during an annual visit. LPA met with staff and explained the reason for the visit. LPA spoke with Administrator Ralph Estanislao over the phone. On 12/29/205 LPA Gonzalez conducted an annual visit and noted the following deficiency: Type B section cited 87608(a)(3) Postural Supports (a)Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident ...Postural supports may be used under the following conditions. (3)A written order from a physician indicating the need for the postural support shall be maintained in the resident’s record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. Based on observation and record review, the licensee did not comply with the section cited above R1, R4 and R5 did not have a order for bed rails. Deficiency was not cleared by POC due date. *Civil penalties were noted for failure to correct.* continued on LIC 809C continued from LIC 809 Type B section cited 87412(a)(11) Personnel Records The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: A health screening as specified in Section 87411, Personnel Requirements - General. Based on record review one (1) out of three (3) staff records, S2 staff file did not contain a completed Health Screening with TB clearance Deficiency was not cleared by POC due date. *Civil penalties were noted for failure to correct.* Type B Section cited 872089(a) Plan of Operation The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49…Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. Based on observation, construction of an additional structure in the backyard has begun without prior notification and approval from licensing, which may affect services to residents. Exit interview was conducted with Noel Navarro and a copy of this report, civil penalties, and appeal rights were provided.