Facility Evaluation Report
Capacity6
Census1
Date signed09/10/2025 10:21:30 AM
Name of licensing program analystKelly Nguyen
Name of licensing program managerBennett Fong
On 9/10/2025 at 9:00 am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit for an health and safety checked. LPA met with care staff and Renato Tisico, explaining the purpose of the visit. LPAs spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report.
LPA toured facility and observed that facility only have R1 residing at the facility.
R1 is receiving home health services (once a week).
LPA tried to reached out to R1 family multiplies times, and left messages.
An exit interview is conducted copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction