Facility Evaluation Report

On 06/11/25 Licensing Program Analyst Perry Scott conducted a case management inspection visit to this facility and met with Algel Culala, Caregiver. LPA was conducting a complaint investigation for 11-AS-20250602144354 on 6/11/25, when it was discovered, the Licensee failed to meet Title 22, Division 6, Chapter 8 section 87211 Reporting Requirements for the complaint.

The resident (R1) in the complaint was admitted to Torrance Memorial Hospital on 05/28/2025. The Licensee/Administrator failed to notify Community Care Licensing Division of this incident with a submission of Special Incident Report LIC 624. The facility is required to submit this report within seven days of the incident. Licensee is in violation of Title 22 regulations for Reporting Requirements.

Deficiencies are issued and plans of corrections were discussed. Plan of corrections are to be submitted on or before 06/20/25, to avoid monetary penalties.

An exit interview was conducted with Algel Culala, Caregiver, and a hard copy of this Facility Evaluation Report was provided.