Non-compliance follow-up·December 29, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Case Management to conduct a Quarterly Visit and met with Executive Director (ED) Alex Baiasu. The purpose of the visit is to ensure the facility is adhering to the Facility's Action Plan submitted to Community Care Licensing (CCL) after an Informal Conference meeting held on 8/13/2024. During visit, LPA reviewed staff training on personal rights and proper resident approach, as part of the facility's Action Plan submitted to the Department on 8/20/2024. LPA reviewed documentation of staff training conducted on 2/28/2025, which included but not limited to topics such as Resident Approach/Resident Rights, and Safe Resident Handling. ED stated the facility has promoted and trained 3 additional staff to supervisory positions to ensure staff are adhering to Title 22 policies. LPA observed the Training Attendance Form was signed by facility care staff. ED states random check-ins are conducted daily with staff to ensure adherence to resident's personal rights and proper approach protocols. ED states there are also random checks on residents during the overnight shift as well. ED states an additional training was provided by Adult Protective Services (APS) during a facility Townhall meeting in August 2025. The facility is adhering to the facility's Action Plan for staff training. No deficiencies cited per California Code of Regulations, Title 22. This report was reviewed with Executive Director (ED) Alex Baiasu and a signed copy of this report was provided