Facility Evaluation Report

Licensing Program Analyst (LPA) J. Duarte, conducted a Case Management regarding deficiencies observed during the complaint investigation in control number 24-AS-20260219094132. LPA introduced self and allowed entrance by Facility staff. LPA met with Director of Operations, Maria Gemma Dela Cruz, and discussed the purpose of today's visit.

During the course of investigation, LPA, LPM, and S1 observed R2's mattress linens to be stained and the bedroom had a urine odor. S1 stated that she sees the stains and can smell it too.

Based on the review conducted by the Department and information gathered, the following deficiency was cited on LIC 809-D per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8.

An exit interview was conducted, and a copy of this report and appeal Rights were provided to Maria Gemma Dela Cruz, whose signature below confirms receipt of these reports.