Follow-up on corrections·October 7, 2025

Licensing Program Analyst (LPA) Pang Lee arrived at this facility unannounced on 10/07/2025 to conduct a case management visit. LPA Lee met with Administrator Aliti Waqalala and explained the purpose of the visit. LPA Lee spoke with administrator Waqalala regarding the purpose of today’s visit and the deficiencies observed on 10/07/2025. The purpose of the visit is to follow up on deficiencies learned during complaint investigation control number # 27-AS-20251002101620. Upon arrival, LPA Lee rang the doorbell and observed through the glass window that care staff (S1) attempted to open the door but was unsuccessful. A few seconds later, S1 unlocked the door with a key and allowed LPA Lee to enter. LPA Lee questioned S1 why the front door is locked and S1 explained that the front door is locked at night and had not yet been unlocked for the morning. Based on observation, the facility’s front door is equipped with a reverse lock, which means that when it is locked from the inside with a key, the door cannot be opened to exit the building. During the visit, Administrator Aliti Waqalala was present in the kitchen preparing breakfast for the residents. In an interview, Administrator Waqalala stated that she locks only the front door every night at approximately at 8:00 PM due to a few residents specifically resident 1 and resident 2 (R1 and R2) who leave the facility and wander at night. LPA Lee inquired about why R1 is not allowed to leave independently, especially if R1’s LIC 602 Physician’s Report indicates R1 may leave unassisted. Administrator Waqalala responded that although R1 may be permitted to leave, allowing R1 to do so then R2 also wants to leave the facility as well which could create safety concerns. Additionally, during the visit, a grocery delivery from Walmart was received. CONTINUED LIC 809-C Based on observations and interviews the administrator did not comply with Fire Safety and residents' personal rights requirements by locking the emergency front door at night, which violates California Code of Regulations Section 87203 Fire Safety and 87468.1(a)(6) Personal Rights of Residents in All Facilities The following deficiencies were identified and cited in accordance with the California Code of Regulations, Title 22, and the California Health and Safety Code. Additionally, an immediate civil penalty of $500.00 was accessed on 10/07/2025 and a repeat violation in the amount of $1000 since this violation was also cited on 09/23/2025. The deficiencies can be found on the 809-D page. An exit interview was conducted, and a copy of the 809 report, 809-D page, LIC 421IMs and appeal rights were given to the facility.