Follow-up·May 8, 2023

Licensing Program Analyst (LPA) Lydia Martinez conducted an unannounced Case Management visit to the facility. LPA was greeted and granted entry by Staff Jefferson Agustin after temperature was taken. LPA explained the reason for visit. Staff Agustin contacted facility Administrator (AD) Moneli Sharifan and left a message notifying her of LPA's presence at the facility. Licensee submitted a request to add resident bedroom #1 as bedridden. Fire Inspection Request was submitted on 03/13/2023. Orange County Fire Authority granted Fire clearance for Bedroom #1 as Bedridden on 03/29/2023. Per Staff, facility has no Bedridden residents. LPA Martinez observed a total of 2 Staff on duty and 6 residents in care, of which 3 are on hospice. Facility is now licensed for 5 non-ambulatory, 1 ambulatory residents, of which 1 may be bedridden. Facility has a Hospice Waiver for 6 residents. On today's visit, LPA Martinez conducted a tour of the interior and exterior of the facility with Staff Agustin. There were no deficiencies noted during today's visit per the California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted with Staff Agustin and a copy of this report will be sent to email on file.