Senior Care Records.

Facility Evaluation Report

Country Club Senior Home Care, Buena Park10/09/2024Licence 306006428

Capacity6
Census0
Date signed10/09/2024 12:00:33 PM
The inspector’s account

On today's date, Licensing Program Manager (LPM) Alisa Ortiz, and Licensing Program Analysts (LPAs) Dwayne Mason Jr. William Vanegas and Samer Haddadin met with Licensee Representatives Gary Tadeo and Peppi Pala on this day for the purpose of discussing potential facility change of ownership. Heidie Tadeo, Facility Administrator, was also present.

During the meeting all participants were reminded of Regulations pertaining to Accountability of Licensee and the expectations regarding change of ownership applications.

Licensee's responsibilities of facility oversight

Update on facility's possible change of application status

During the meeting, both Licensee Representatives were provided with possible options for updates to administrative organization and/or change of ownership. Both licensees will communicate any changes or updates to the Department.

No deficiency are being cited per Title 22 at this time.

An exit interview was conducted with Licensees. A copy of this report, LIC 809, was provided to Licensee during the visit.

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