Facility Evaluation Report

Licensing Program Analyst (LPA) Luisa Fontanilla conducted a proof of correction (POC) visit. LPA met with Soledad Bacani, Administrator and informed her about the purpose of visit.

On 8/7/25, LPA issued a citation deficiency section # 87611(a)(3) with due date 8/8/25 and 87611(c) and Sec 87457 (c) with due date 8/15/25 under case management legal-non compliance visit Administrator submitted an incomplete POC for sec 87611(a)(3) and failed to submit POC for sec 87611(c).

On this day, 8/22/25 civil penalty is assessed as follows:

The civil penalty was discussed with the Collong .

Civil Penalties in the total amount of $2,800.00 is assessed today for failure to meet/submit POCs date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies are corrected.

Exit interview was conducted with Bacani. Appeal Rights, LIC421FC Civil Penalty Assessment, and copy of this report provided.