Facility Evaluation Report
On 07/13/2026 at 9:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and P.Manalo conducted an unannounced Case Management visit regarding R1's stage 3 pressure ulcer. LPAs met with Executive Director (ED), Marie Ann Lagasca-Cruz and explained the purpose of the visit.
On 07/10/2026, LPA K. Nguyen received an email from the facility regarding R1's stage 3 pressure ulcer and R1's family decline hospice services.
During the visit, LPAs reviewed and obtained the following documents included but not limited to Physician Communication Form and Email Correspondence. ED stated that during R1's follow up appointment with physician, physician stated that R1 had a stage 3 pressure ulcer. However, Kaiser nurse and home health nurse stated that R1's pressure ulcer is a stage 2.
By 07/17/2026, LPAs are requesting additional documentation's from Kaiser and home health stating what stage the pressure ulcer for R1 is.
Exit interview conducted and copy of this report is provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction