Follow-up on corrections·April 15, 2026

On 4/14/2026 LPA Ramon Serrano arrived to the facility to conduct a case-management deficiencies visit. LPA was greeted by Executive Director Abraham Botello and LPA explained the purpose of the visit. On 4/6/2026, the Department conducted a case management visit to follow up on the self-reported death of a Resident (R1) [see 811 confidential names list]. During the visit, records were requested, however, three of the requested records could not be provided to the Department as required. An interview was conducted with the Executive Director (ED) who clarified that three records were not available due to the Resident Services Director (RSD) being out of the facility. The records included R1’s Preplacement Appraisal, LIC602 Physician’s Reports, as well as Caregiver Work Schedules for the months of January, February, and March. On 4/14/2026 the department conducted a review of records that were obtained and identified that R1 was bedridden (R1). Interview conducted with ADM who believed R1 was bedbound. R1’s Needs and Service Plan update for Grooming dated 2/20/2026 was reviewed and indicated “Resident is Bed Bound.” A review of the facility narrative charting notes that on 9/3/2025, it was documented that R1 required repositioning every two hours to prevent bed sores. A review of the facility file was conducted on 4/14/2026 which revealed that the facility was licensed for 145 non-ambulatory residents, and 0 bedridden residents. During today’s visit, a health and safety visit was conducted which revealed that there were four (4) bedridden residents present. Three (3) citations were issued and can be found on the attached LIC 809(D). Per California Health and Safety Code §1569.49 (c)(2)(A), a $500 immediate civil penalty was also assessed for a violation of the facility’s fire clearance [see attached LIC 421-IM]. An exit interview was conducted with Executive Director Abraham Botello, to whom a copy of this report, the LIC809-D page, the LIC421-IM page, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.