Senior Care Records.

Facility Evaluation Report

Legacy Senior Living 2, Huntington Beach10/21/2025Licence 306006554

Capacity6
Census5
Date signed10/21/2025 03:20:11 PM
Name of licensing program analystEdward Kim
Name of licensing program managerLourdes Montoya
The inspector’s account

On this day, Licensing Program Analyst (LPA) Edward Kim conducted a case management visit to document a deficiency observed during the investigation of complaint 22-AS-20251016083056 but unrelated to the allegations investigated.

During a tour of the physical plant, LPA observed and reviewed the record of S1 who was working in the facility without having background clearance and association with the facility.

A deficiency was cited per Title 22 Division 8 Chapter 6 for S1 not having background clearance and association with the facility. A Civil Penalty was assessed.

An exit interview was conducted and a copy of this report, LIC421BG, LIC811, and appeal rights were provided to Caregiver Pepito Vitug.

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