Facility Evaluation Report

Licensing Program Analyst (LPAs) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction (POC) clearance. LPA Lopez identified herself and was granted entry by Licensee Victoria Legaspi. LPA met with Licensee Legaspi and discussed the purpose of today’s visit.

On 04/02/2025, the Licensee was issued a deficiency regarding their expired Liability Insurance. At that time, Health and Safety Code, sections §1569.605 Liability insurance, was spoken with Licensee Legaspi and a hard copy provided to them. A POC was jointly developed with Licensee Legaspi with a due date of 4/16/25.

During today’s visit, LPA requested a copy of their Liability Insurance Declaration page which Licensee was able to provide. Although, the POC was deemed cleared during today’s visit, a civil penalty was assessed for failure to correct was issued for the time elapsed between the due date of 4/16/25 and the time the POC was provided, 4/17/25.

On 12/05/2024 and 12/06/2024, the Licensee was issued civil penalties for a total of 6 deficiencies for Personnel Records, Resident Records, Medical Assessments and Reappraisals.

During today's visit, the licensee was issued additional civil penalties as the deficiencies issued on 12/05/2024 and 12/06/2024, were not yet corrected.

An exit interview was conducted and a copy of this report, along with Licensee Rights (LIC 9058 03/22), and copies of the LIC421's, were provided to Licensee Victoria Legaspi at the conclusion of the visit. The signature below confirms receipt of these documents.