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Facility Evaluation Report

Madison Guest Home, Placentia10/31/2025Licence 306004711

Capacity6
Census6
Date signed10/31/2025 10:59:54 AM
Name of licensing program analystClaudia Gutierrez
Name of licensing program managerArmando J Lucero
The inspector’s account

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced Plan of Correction (POC) inspection for the purpose of following up on deficiency re-cited during POC visit on October 23, 2025. LPA was greeted and granted entry by Staff Dennis Cornejo. LPA met with Staff Arlyne Cornejo and the purpose of the visit was discussed.

Deficiency 87465(a)(5)(A) was cited due to there being no authorization from Resident’s 1 (R1’s) physician for one of their prescribed medications. During today’s visit, LPA observed medication has been discontinued per physician’s orders and staff stated medication has since been destroyed.

POC has been met and deficiency previously cited will be cleared.

Based on today’s observations, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.

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