Senior Care Records.

Facility Evaluation Report

Rosehaven 1, San Clemente06/16/2022Licence 306003893

Capacity6
Census5
Date signed06/16/2022 11:39:55 AM
The inspector’s account

Licensing Program Manager (LPM) Alisa Ortiz, and Licensing Program Analyst (LPA) Kimberly Lyman, conducted an informal office meeting via teams application with Licensee Jaya Pichika to discuss general compliance concerns at the facility.

The following items were discussed during the meeting:

Lack of communication between licensee and the department.

Licensee to communicate with the department on all issues or concerns regarding facility operations.

Licensee agrees to contact department for clarification and not make assumptions.

Licensee to forward a copy of the LIC 500 to LPA by 06/23/2022.

Facility will maintain compliance of Title 22 at all times and failure to maintain compliance may result in the department taking further action.

During the visit, Licensee was offered technical support services with the department to assist with compliance. Licensee declines the technical support and states she has made the corrections and is confident there will be no issues moving forward.

Exit interview conducted and a copy of this report will be emailed to Licensee for signature due to the visit being virtual.

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