Facility Evaluation Report
On April 26, 2024, at 9:10 am, Licensing Program Analyst (LPA) Edward Kim and Licensing Program Manager (LPM) Lourdes Montoya conducted a continuation visit for a required 1-year annual visit. LPA Kim and LPM Montoya were greeted and gained entry to the facility by staff. Administrator Ester Dela Cruz arrived 10:00 am.
LPA Kim conducted a record review on resident files (R1-R5) and staff files (S1-S2). LPA Kim conducted a resident interview (R5) and staff interviews (S1-S3). LPA Kim reviewed resident medications and medication administration record.
Deficiencies were cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). Civil Penalty assessed.
An exit interview was conducted with AD DeLa Cruz and a copy of this report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction