Facility Evaluation Report
Capacity6
Census3
Date signed02/15/2022 05:12:25 PM
Licensing Program Analyst (LPA) Angela Panushkina met with Consuela Cipriano for a case management. The purpose of the case management visit was to issue deficiencies observed during today's complaint investigation. Deficiencies observed have nothing to do with complaint.
LPA observed a hospice resident in room #1. Facility does not have an approval for hospice.
Following citations issued for the identified deficiencies pursuant to Title 22 Regulations on LIC809D.
Exit interview conducted, appeal rights discussed and a copy of this report provided to the Administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction