Facility Evaluation Report

While at the facility investigating a complaint (Control # 15-AS-20250430080657) and upon reviewing residents' records, Licensing Program Analyst (LPA) Delmundo observed the two residents' (R1 and R2) LIC602A Physician's Reports were over a year old. LIC602As showed they have major neuro cognitive disorder.

The above were discussed with MIrriam Paras, administrator.

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 may result in civil penalty.

Deficiency, plan and proof of correction were discussed.

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