Facility Evaluation Report

On May 7, 2025, Licensing Program Analysts (LPAs) Ernand Dabuet and Jose Anguiano conducted a Case Management visit at this facility. The LPAs were greeted by caregiver Nicanor Santos, the (LPAs) explained the purpose of the visit.

During the required annual inspection on April 25, 2025, conducted by LPA Anguiano, it was discovered that a resident under hospice care had passed away. Mr. Santos reported that the resident died in the facility. The death was not reported to Community Care Licensing (CCL) within the required seven-day period as mandated by Title 22 Regulations.

As of May 7, 2025, the Licensee has failed to notify (CCLD) of this incident with a Death Report LIC624-A for (R1). It's been passed (7) days since the incident. The licensee violates 87211 Title 22 Regulations Reporting Requirements.

California Code of Regulations (Title 22, Division 6, Chapter 8), deficiencies were observed, and citations were issued (ref. LIC 809-D).

An exit interview was conducted and a copy of the Evaluation Report and Appeal Rights were provided to Nicanor Santos.