Facility Evaluation Report
On 4/21/2026 at 2:50pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Jazrael Pascual, Caregiver, and explained the reason for the visit.
While LPA L. Hall was conducting a complaint investigation (15-AS- 20260323111041) on 3/25/2026. During the visit LPA toured facility and observed the following deficiencies. LPA was also informed the administrator in FAS no longer is employed with the facility.
· LPA observed facility did not have supplies necessary for personal care and maintenance of adequate hygiene.
On 4/21/2026, S1 informed LPA that staff that will be the administrator is out-of-the country. Change has not been made and CCLD was not notified.
Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction