Follow-up on corrections·May 13, 2026

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Licensee/Administrator Ray Baha. While conducting interviews and file review, LPA was informed by staff of an incident regarding a resident "a few Friday's ago," in which the resident (identified as R1) had obtained alcohol via physical mail and consumed it. Per file review and staff interviews, R1 has a documented history of alcohol and substance abuse. LPA had additionally conducted an interview with an outside source responsible for R1's care and it was revealed that the incident occurred prior to May 6th, 2026 though no specific date of the incident had been given. Community Care Licensing (CCL) had not received any notification from the facility of any such incident within the required seven (7) days. A Type B deficiency for not meeting reporting requirements was issued, and details are included on the attached LIC 809-D page. LPA offered consultation for possible next steps regarding concerns that R1 may no longer be safely able to manage their mail. Licensee/Administrator Baha stated they do not believe the incident fell under the criteria of an incident requiring notification to CCL and requested this to be included in today's report. One Deficiency was cited during the visit. An exit interview was conducted with Licensee/Administrator Baha to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.