Facility Evaluation Report

On 5/7/2025 at 11am Licensing Program Analysts (LPA) K. Nguyen conducted an unannounced Case Management visit because on 5/6/25 LPA received information by the Regional Office upon the Administrator did not report or submit a death report to licensing. LPA were greeted by care staff Evangeline Fernadez and explained the purpose of the visit. LPA asked to contact Administrator (ADM), Victoria Puruganan via telephone. ADM was not able to meet LPA and asked for Jezrael Pascual to assist LPA and sign the report.

LPA confirmed with ADM at around 1:34pm R1 passed away on 3/29/2025 under hospice care, but did not report to licensing because ADM stated that she thought that if the resident is under hospice care, then she doesn’t need to report.

***An immediate $250.00 civil penalty will be assessed on today's date for reported violation within 12month***

Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided.