Facility Evaluation Report

Licensing Program Analyst’s (LPA’s) Carmen Lopez and Jose De La Cruz conducted an unannounced case management visit for a Plan of Correction (POC) clearance. LPA Lopez and De La Cruz identified themselves and were granted entry by Licensee Victoria Legaspi. LPA's met with Licensee Legaspi and discussed the purpose of today’s visit.

During today’s visit, LPA’s Lopez and De la Cruz spoke with resident and with Licensee Legaspi. According to licensee Legaspi none of the pending POCs have been corrected. On 08/25/25, LPA’s continued civil penalties for citations on Plan of Operations reissued on 05/19/2025.

On 05/19/2025, Licensee was issued a citation for Personal Rights of Residents in all Facilities which was due on 5/30/25. As the citation lapsed, LPA reissued the citation during today's visit.

On 4/24/25, Licensee was issued deficiencies for not having fire drills and evacuations chairs, due 05/23/25. During today’s visit, LPA confirmed that the licensee did not have their POC cleared. Civil Penalties are being issued for the deficiencies that were not cleared.

On 10/28/2024, licensee Legaspi was issued citations that continued to civil penalties up to date for resident reappraisals, client #1 (C1’s) Physician’s Report (LIC602), Personnel Records for staff #1 (S1) and Administrator’s certificate as licensee Legaspi was unable to produce the clearance.

On 04/17/2025, the Licensee was issued a Type A deficiency regarding false/misleading statements. On 08/25/2025, Licensee was unable to produce the POC to clear the deficiency. During today’s visit, the Licensee was still unable to produce the POC, and a failure to correct was issued for the continued deficiency.