Facility Evaluation Report
On 6/22/2022, at 2:40PM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPA met with Administrator, Aurora Balancio, and explained the purpose of the visit.
Facility has the following deficiencies that was not cleared :
87455(b) LPA have not received documents to request a hospice waiver from Administrator after case management visit 6/15/2022
87211(a) LPA had not received documents as requested to report incidents from the Administrator after case management visit on 6/15/2022. Administrator gave LPA both incident reports during today's visit.
Civil Penalties for 87455(b) assessed immediately.
Civil Penalties in the total amount of $600.00 is assessed today for the period of 6/16/2022 to 6/22/2022 for failure to meet POC date for deficiency 87455(b). Facility is subject to ongoing civil penalties until deficiency is corrected.
Exit interview conducted. A copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction