Follow-up·December 12, 2025

On 12/12/2025 Licensing Program Analyst (LPA) Shakaricka Hughes conducted an unannounced visit to the facility. The purpose of the visit was to conduct a case management visit at the facility. The current census is 15 with 3 facility staff. During today’s visit LPA toured the inside of the facility, and observed (3) surveillance cameras in the facility located in the kitchen area, staff office area, and medication/ staff room. On 12/05/2025 LPA Hughes provided guidance to the facility regarding the use of surveillance in the facility. As of 12/12/2025 the Dept has not approved the use of surveillance in the facility. LPA instructed the facility to remove the surveillance cameras in the facility, until the Dept reviews and approves the facilities plan related to surveillance in the facility. This was observed not in compliance with Title 22 regulation 87208 (a) Plan of Operation. Based on review the licensee did not ensure that the facility followed the approved Plan of Operation. An addition, LPA investigated an incident that occurred in the facility involving a facility staff (S1). LPA requested LIC 624 Special Incident Reports (SIR) involving facility staff (S1). LPA also requested the status of residents who were confirmed to have body lice residents (R1) and (R2), including physician clearance documents and any documentation demonstrating the facilities follow-up action. During today’s visit a citation was issued. An exit interview was conducted with the facility administrators Kimberly and Joseline and a copy of the LIC 809, LIC 809-D pages and appeal rights were provided to facility.