Facility Evaluation Report

Licensing Program Analyst (LPA), Carmen Lopez, conducted an unannounced visit to initiate a complaint investigation and in conjunction conducted this Case Management visit. LPA Lopez identified herself and was granted entry by Victoria Legaspi, Administrator. LPA Lopez stated the purpose of the visit and reviewed the basic elements of the visit with Victoria Legaspi, Administrator.

During the visit it was discovered there were two incidents which transpired at the facility one on March 2, 2023, for resident #1 (R1 - See LIC811 Confidential Names list) and second incident transpired on April 28, 2023, for resident #2 (R2 – see LIC811 Confidential Names List) and needed to be reported to the Department. During today’s visit, LPA toured the facility, briefly spoke with staff and residents, and requested and obtained resident records. LPA did obtain a copy of the incident reports while at the facility.

Two technical advisories and one deficiency were given per Title 22, Division 6, Chapter 8 of the California Code of Regulations (see LIC9102 and LIC809-D). This report was discussed, and an exit interview was conducted with Victoria Legaspi, Administrator, to whom a copy of this report, Confidential Names list (LIC811), and the Licensee appeal Rights (LIC9058) were provided via email. An electronic email receipt confirms the documents were received.