Senior Care Records.

Facility Evaluation Report

Humble Haven RCFE II, Palmdale09/17/2024Licence 197610008

Capacity6
Census6
Date signed09/17/2024 03:07:50 PM
The inspector’s account

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 deficiencies cited at the facility during an annual visit conducted on 08/07/2024. Prior to the meeting, the Licensee was given the opportunity to review the facility file.

Present at today's meeting are the following:

· Troy Agard, Licensing Program Manager (LPM)

· Melissa Spaeth, Licensing Program Analyst (LPA)

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: Facility has been in operation since licensure on 08/26/2020, for a maximum of six non-ambulatory residents. LPM Agard discussed and expressed concern regarding the potential sale of the facility to an individual without notifying CCL. Also, LPA Spaeth discussed the citations that were issued during an unannounced annual inspection on 8/07/2024.

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