Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Mary Flores conducted a case management visit regarding COVID 19 recommendations and guidelines . LPA Flores met with Carlos Lara administrator and explained the reason for the visit.

LPA Flores observed the following; upon arriving at the facility LPA Flores observed receptionist Jessica Almendarez in the receptionist desk with surgical mask under her chin, there were residents sitting in wheelchairs about 4 feet distance from the receptionist and other residents sitting in the lobby area.

Per PIN 21-38 ASC "All ASC residential facilities must sctrictly adhere to current CDPH Masking Guidance."

Deficiencies will be noted on LIC 809D per Title 22 Regulations. Civil Penalties were assess for a Repeat Violation within 12 months for the amount of $250.00.

Exit interview was conducted and a copy of this report, LIC 809D, and appeal rights were provided.