Facility Evaluation Report
On 11/15/2024 at 3:55pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management. LPA met with Josephine Ambagan, Caregiver, and explained the purpose of the visit. Administrator, Ronan Rances, arrived at 4:00pm.
LPA had received a denied fire clearance on 9/17/2024. LPA toured facility during visit and observed two (2) non-ambulatory residents residing in an ambulatory only room only. S1 stated repairs have been completed and he will be submitting documentation to CCLD.
*An immediate civil penalty of $250.00 will be assessed on today's date for a repeat violation*
Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. A copy of the appeal rights, LIC421FC, and this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction