Facility Evaluation Report
On 04/02/2025 at 02:15 PM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to commence a Case Management - Deficiency. LPA was greeted and granted entry by Staff #2 (S2). LPA Brown explained the purpose of the visit to S2. Licensee/Administrator Marie Libed was contacted and informed of the visit. Licensee/Administrator contacted LPA Brown and LPA identified herself and discussed the purpose of the visit with Licensee/Administrator Libed. Licensee/Administrator Libed designated staff Estelita Mallari Sambrano to sign and receive the report.
During the facility visit today, 04/02/2025, LPA Brown unable to obtain Resident #1 (R1) facility records as R1's records were not at the facility and unavailable for review. LPA Brown informed staff Sambrano that deficiency will be issued.
An exit interview was conducted where this report (LIC809), LIC809D and Appeal Rights were discussed and provided to staff Estelita Mallari Sambrano.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction