Facility Evaluation Report
Capacity6
Census0
Date signed10/02/2025 03:44:05 PM
Name of licensing program analystKelly Nguyen
Name of licensing program managerBennett Fong
On 10/2/2025 at 3:00 pm, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo conducted an unannounced Case Management visit to follow up on R1 status. LPAs met with care staff and Renato Tisico, explaining the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report.
LPA toured the facility and observed that the facility do not have any resident. LPAs interviewed staff 1(S1) stated that ADM gave them until Saturday morning 10/4/25 to move out of the facility.
An exit interview is conducted, and a copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction