Facility Evaluation Report

Lakeside Manor, Lakeside04/28/2025Licence 374604472

Capacity15
Census15
Date signed04/28/2025 06:45:04 PM
Name of licensing program analystDebbie Correia
Name of licensing program managerJennifer Lott
The inspector’s account

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced case management visit to inspect the facility in response to the Licensee's request to increase the facility's capacity from 15 to 17 non-ambulatory residents in care. LPA Correia was greeted by Caregiver Melissa Burciaga, identified herself, and discussed the purpose of the visit with Caregiver Burciaga and Caregiver Liz Serrano, and Administrator Herika Rico joined the visit shortly later.

An application for an increase of capacity from the current capacity of 15 non-ambulatory residents to 17 non-ambulatory residents was received by the Department on January 6, 2025. The application entailed changing two private room into shared rooms. The Fire Safety clearance was conducted and granted approval by the Lakeside Fire Protection District on April 24, 2025 .

During today’s visit, LPA conducted a facility tour and confirmed the details of the application request, facility sketch, and fire clearance.

The completed change of capacity and non-ambulatory residents request will be forwarded to management for final review and approval. An exit interview was conducted with Administrator Herika Rico, to whom a copy of this report and the Licensee Rights (LIC9058 01/16) were provided at the end of the visit.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction