Facility Evaluation Report

On 4/16/2025 LPA A Gomez and conducted a case management visit while at the facility for complaints 15-AS-20240715150655. LPA met with Licensee/ Administrator Gina Licup and explained the purpose of the visit.

While conducting the complaint investigation LPA found that S1 married R1 and the Licensee/Administrator and backup Administrator found out and did not report it to Licensing. Licensee stated that they did not think that they had to report the incident because R1 did not have a dementia diagnosis however the Administrator did advise S1 and R1 to not disclose the marriage to other residents or staff. Because Licensee/Administrator and backup Administrator failed to report the incident and asked S1 and R1 to not disclose their marriage LPA is citing for "Administrator Qualifications"

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.