Facility Evaluation Report

Licensing Program Analyst (LPA) 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 04/17/2025, the Licensee was issued a Type A deficiency regarding false/misleading statements. At that time, California Code of Regulations (CCR), Section 87207, was discussed with Licensee Legaspi. A POC was jointly developed with Licensee Legaspi with a due date of 4/18/25.

During today’s visit, LPA requested a copy of their POC statement of the uncleared individual which Licensee was unable to provide. A failure to correct was issued for the time elapsed between the due date of 4/18/25 through, 4/24/25.

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 have yet to be corrected.

Civil Penalties were issued during today's visit.

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