Facility Evaluation Report
On 07/01/25, Licensing Program Analyst (LPA) M. Yang arrived to conduct an unannounced subsequent
complaint investigation and met with Licensee/ Administrator Jethronel Lazaga.
During the course of the investigation, LPA toured the facility and reviewed residents’ record. The department observed R1 and R1 laying in bed using a half bed rails on 06/16/25 during a initial complaint visit.
Deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22,
An exit interview was conducted. A copy of this report and appeal rights was provided to Licensee, whose
signature on this form confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction