Facility Evaluation Report
On 04/09/2025 at 12:10 PM, Licensing Program Analysts (LPAs) P.Manalo and K. Nguyen while conducting a Case Management Visit. LPAs met with Administrator, Samuel Tet.
On 04/07/2025, CCLD received an incident report of Resident 1 (R1) who AWOL from the facility on 03/22/2025. Facility failed to report as required.
LPAs confirmed with the Administrator that the incident occured on 03/22/2025. However, CCLD received the incident report on 04/07/2025.
The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency and/or repeat deficiency within a 12-month period may result in civil penalty.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction