Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA was greeted and granted entry by Staff Adrian Brucal and the purpose of the inspection was discussed.

During today’s inspection, LPA observed the facility currently has a zero census. Per Staff Brucal, all residents have relocated to either their personal home or a different care facility. LPA conducted a tour of the facility and observed all bedrooms to be free of any personal belongings. LPA observed utilities, including water, gas, and electricity to be operational. During interview, Staff stated their wages were partial and incomplete for the last pay period.

LPA observed notice of Department commencing proceedings to revoke the license of the facility posted in the entranceway.

Deficiency cited under Title 22 Regulation 87213 pertaining to Finances has not been cleared as Licensee did not comply with the POC. Deficiency is being re-cited.

Based on observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was provided at the end of the inspection.