Facility Evaluation Report

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management visit for the deficiency observed during investigation of complaint (15-AS-20240327144832), but was not cited on April 4, 2024 LPA learned that the administrator yelled at resident (R1) which during interview, the administrator admitted to yelling when R1 becomes verbally abusive to the caregivers.

On this day, April 5, 2024, LPA met with Belinda Dela Cruz, staff. LPA called and spoke over the phone with Marcial Julian, administrator, and informed the reason for visit.

Deficiency is cited from Title 22 California Code of Regulations, and listed on 809D. Failure to submit proof of correction by plan of correction due date, and any repeat violation within 12 month period may result in additional civil penalty.

Deficiency and plan and proof of correction were discussed with the administrator over the phone, Administrator authorized Belinda Dela Cruz to sign and receive this report,

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.