Facility Evaluation Report
Capacity35
Census35
Date signed10/13/2023 03:52:55 PM
Licensing Program Analysts (LPAs) Luisa Fontanilla and Alona Gomez conducted a case management visit in connection with the investigation of complaint 15-AS-20230321085000 and met with Grace Aquino.
During the course of investigation, it was revealed that several unlicensed staff checked Resident 1 (R1) blood sugar. In addition, the facility does not have an approved exception to admit/retain R1 who has Diabetes and unable to manage own blood sugar checks.
Deficiencies are cited per Title 22 California Code of Regulations (refer to Lic 809D)
Exit interview was conducted with Grace and Appeal Rights was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction