Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance and in conjunction conducted a health and safety check for clients in care. LPA Lopez identified herself and was granted entry by Licensee Victoria Legaspi. LPA met with Licensee Legaspi and discussed the purpose of the visit.

On 11/01/23, the facility was issued four deficiencies regarding updated Insurance information, updated CPR training, updated Administrator’s Certificate, and the kitchen being unsanitary and free from rodents and vermin.

During today’s visit, LPA inspected the kitchen area and observed that the facility was free from insects and vermin. Licensee had made a contract with a pest control company who renders services to the facility every three months. Licensee provided LPA with their invoices. As such, this deficiency is deemed to be cleared and corrected.

Per Licensee Legaspi, the other deficiencies are pending. Based on the information obtained and review of the annual inspection, the facility is being recited during today’s inspection and citations may be reviewed on the attached LIC809-D page of this report.

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