Senior Care Records.

Facility Evaluation Report

Contra Loma Home LLC, Antioch02/09/2024Licence 079201246

Capacity6
Census2
Date signed02/09/2024 01:12:32 PM
The inspector’s account

On this day at around 11:53 am, Licensing Program Analyst (LPA) Luisa Fontanilla conducted a case management visit related to complaint # 15-AS-20240124094255 and met with Licensee Lu Li.

During the visit, LPA was informed that two more renters who are not fingerprint cleared are staying at the facility and occupying client rooms.

While at the facility, LPA informed Licensee that her request for a waiver to allow renters to live at the facility has been denied by the Department.

Type A deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Failure to submit proof of corrections may result in civil penalties.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction