Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility for a case management incident visit. LPA met with Caregiver Diego Vazquez-La Madrid and explained the purpose of the visit. The Licensee Manuel Vazquez was available via Telephone.

The visit was conducted as a result of the licensee self-reporting an incident involving client #1 (C1). The licensee’ self reported this incident by submitting form LIC 624 – Unusual Incident/Injury Report to the Riverside Adult and Senior Care program, Community Care Licensing (CCL) Regional office, which was received in on April 4, 2023.

During today’s visit, LPA conducted interviews with facility staff and reviewed and obtained copies of client records. No deficiencies were cited during today’s visit.

An exit interview was conducted and a copy of this report was provided to Diego Vazquez-La Madrid.