Facility Evaluation Report

On 07/29/2025 at 10:00 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct case management inspection as part of on-going monitoring plan from Non-Compliance Conference (NCC) held on March 26, 2025. LPA met with House Manager, Jezrael Pascual, and explained the purpose of the visit. Jezrael phoned Licensee/Administrator, Victoria Puruganan to inform. Victoria arrived approximately an hour later.

Upon entry to the facility, LPA observed three (3) residents (R), which R1 was sitting outside front patio, and R2 and R3 were sitting inside the front living room area watching television.

87405(a)(b) Administrator - Qualifications and Duties $100.00 x 77 days = $7,700.00

87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities $100.00 x 77 days = $7,700.00

Civil Penalties in the total amount of $15,400.00 is a continuation of a daily penalty that was first assessed on 04/10/2025 for failure to meet Plan of Correction (POC) dates for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected.

Exit interview conducted. Appeal Rights, LIC421FC, and a copy of this report provided.