Facility Evaluation Report
Licensing Program Analyst (LPA) Bennette Pena generated this Case Management-Deficiencies report in conjunction with complaint control # 28-AS-20230918114141 . This report is being generated to address deficiency observed during the visit that is not related to the complaint allegation.
While conducting a tour of the facility with the Administrator, LPA observed that Client #1 (C1) bed mattress in Room #2 has lice. Administrator witnessed the lice and LPA was given the permission to take photos of the mattress.
Based on observation, the deficiency is issued on the attached LIC809D. An exit interview was conducted, and a copy of the report and appeal rights were issued to Administrator, Rommel Dungca.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction