Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George made an unannounced case management deficiencies visit. LPA requested the file for Resident #1 (R1) and was informed that there was no file at the facility due to R1 being discharged. LPA was unable to review the file requested. Deficiency cited.

Based on today's visit a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8) on the attached 809D.

An exit interview was conducted and a copy of this report, appeal rights, LIC9098-Proof of Corrections form and LIC811-Confidential names list was reviewed and provided to Elvira Mangabat, Caregiver.