Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit pertaining to residents’ eviction. LPA Rico met with staff Cresenaio Galve and explained the purpose of the visit. The Administrator Charise Magsaysay was contacted and informed about today’s visit. During today’s visit, LPA Rico conducted staff interviews, reviewed facility’s documents, and toured the facility.

Upon record review, it was revealed that R1 was not provided with a 30-day eviction notice. The Administrator Charise informed LPA that R1 had requested to move out. The Administrator indicated that they had assisted with finding a new facility for R1. In addition, R1 did not provide a 30-day notice of move-out date to the facility. Per resident interview, R1 stated they did not want to move out. During facility tour, LPA observed R1 personal belongings were still located inside the facility. LPA informed the Administrator that the facility must follow Community Care Licensing Eviction Procedures.

Furthermore, LPA Rico reviewed R1 physician report which indicated R1 is unable to manage own cash resources. The facility did not have residents' cash resources maintained as a drawing account which would include ledger accounting (columns for income, disbursements and balance) for each resident, and supporting receipts filed in chronological order. A deficiency will be issued. In addition, it was revealed the facility did not have a surety bond. A deficiency will be issued. Based on the information gathered today’s visit three (3) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Administrator Charise Magsaysay. Along with a copy of appeal rights.