Facility Evaluation Report

Licensing Program Analyst’s (LPA’s) Carmen Lopez and Jose De La Cruz conducted an unannounced required annual inspection and, in conjunction conducted this case management visit for a Plan of Correction (POC) clearances. 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 the Licensee Legaspi. According to licensee Legaspi, none of the pending POCs have been corrected with the exception of one. On 10/20/25, LPA Lopez reissued a citation that was cleared during today’s visit for CCR Section 87468.1 (a)(1) Personal Rights of Residents in all Facilities, that was issued on 08/25/25. This is deemed cleared during today’s visit.

The following deficiencies were formerly issued and have continued as civil penalties for the following uncleared deficiencies:

On 05/19/2025, Licensee was issued a citation for Plan of Operations and Reporting Requirements. During today’s visit, the Licensee was unable to produce the documents to clear the citations and civil penalties have been assessed.

On 04/24/2025, licensee Legaspi was issued citations for staff training for resident Bill of Rights, Resident Records, Evaluation of Suitability for Admission, Basic Services, Finances, and Health and Safety Code (HSC) for quarterly fire drill, and evacuation chair, and deficiencies were discussed with the Licensee. LPA’s Lopez and De La Cruz confirmed the deficiencies have yet to be cleared and civil penalties will continue to accrue. A failure to correct was issued for each of the deficiencies.