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Facility Evaluation Report

Hawthorne Terrace Care Home, LLC, Hawthorne04/30/2026Licence 198320095

Capacity14
Census10
Date signed04/30/2026 04:33:29 PM
Name of licensing program analystSocorro Leandro
Name of licensing program managerUlysses Coronel
The inspector’s account

On 04/30/2026, Licensing Program Analyst (LPA) Socorro Leandro observed deficiencies relating to complaint investigation control number: 11-AS-20260428112843.

Resident 1's (R1) outdated Appraisal & Needs Services Plan. R1's Preplacement Appraisal Information is dated 03/31/2023. The Administrator indicated that they have not updated R1's Appraisal & Needs Services Plan.

R1 has an outdated annual routine medical assessment. R1's Physician’s Report is dated 01/06/2023.

Deficiencies are being cited based on records reviewed in accordance with the California Code of Regulations, Title 22, see LIC809D.

An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator, Zuo Fen Hauf.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction