Facility Evaluation Report

On 5/1/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of launching the complaint investigation into complaint control number 18-AS-20260424155717. LPA Flores met with Administrator Carolina Dizon and explained the purpose of the visit.

During the visit, LPA learned that the Licensee did not conduct a pre-placement appraisal for Resident #1 (R1), did not have a signed admission agreement for R1, or any other required documents as required by Title 22, Section 87506 which posed an health and safety risk to R1. Therefore, a deficiency was issued on the attached LIC809D.

An exit interview was conducted and a copy of this report, LIC809D, and appeal rights were provided to the Administrator.