Facility Evaluation Report
On 12/03/2025 Licensing Program Analyst (LPA) Raquel Hernandez conducted a unnanounced visit in regards to complaint 56-AS-20251125220805. LPA met with facility staff Nestor Frijas and explained purpose of visit.
Upon visit, LPA observed facility did not follow appropriate reporting requirements in regards to Resident #1 (R1) medical emergency. LPA observed incident occurred on 11/24/2025 and has since then not been reported to licensing department within seven days of occurrence.
Based on the observations made during today’s visit, a 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 Staff Nestor Frijas. Along with a copy of the appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction