Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to cite a deficiency observed during a complaint visit that is unrelated to the complaint allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Licensee Natalia Verdugo.

During the unrelated complaint visit, LPA reviewed resident records and determined that the records for Resident 1 and Resident 2 (R1 and R2) were incomplete. [Licensee was provided with an LIC811 Confidential Names List to identify R1 and R2] Review of both resident's files and an interview with Licensee Verdugo revealed that both R1 and R2 moved into the facility in early March 2025, and as of 4/2/2025, both R1 and R2 did not have medical assessments or appraisal documents on file. During the visit, Licensee Verdugo was able to obtain and provide LPA with an electronic copy of R2's medical assessment dated 3/5/2025.

Therefore, a deficiency regarding resident records is being cited per California Code of Regulations Title 22 and noted on the attached LIC809-D page.

An exit interview was conducted with Licensee Natalia Verdugo, whose signature below confirms receipt of a copy of this report, LIC811, and the Licensee Appeal Rights (LIC9058 3/22).