Facility Evaluation Report

An Informal Conference was conducted today in the Woodland Hills Adult and Senior Care Regional office. The purpose of this Informal Conference is to discuss the incident that occurred during the month of March, 2024.

Present at today's meeting are the following:

· Eva Miller, Licensing Program Manager (LPM)

· Mariana Agban, Licensing Program Analyst (LPA)

· Arnaldo Hukom and Esperanza Hukom – Administrators

The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Conference is a part of the administrative action process. Further citations may result in a Non-Compliance Conference, which could lead to a referral to the Department's Legal Division for possible license revocation or other administrative actions.

BRIEF HISTORY : The facility has been in operation since licensure on 11/06/2014 and is licensed for six non-ambulatory residents, one of which may be bedridden.

A complaint was received by CCL on 3/5/24 alleging that the Licensee did not notify CCL of a sale of the facility. Licensing Program Analyst (LPA) Mariana Agban initiated a complaint investigation on 03/14/2024, with Substantiated findings. During the course of the investigation, Administrator stated that they are currently the facility Administrator until the new applicant applies for the License. The new applicant confirmed that they haven't applied for a License and bought the facility on February 9, 2024. The administrator admitted that they had failed to notify the resident's responsible party in writing and CCL regarding the sale of the facility.