Facility Evaluation Report
Unannounced case management visit made out to this facility on 05/10/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility house manager, Jazmine Castillo, who was briefly interviewed at this time. This LPA also requested that she go ahead and notify the facility designated Administrator, Jessica Dizon, to let her know that CCL was present at this time.
Current census was 6 residents but all of them were out of the home at this time at their respectable day programs.
The purpose of this visit was to deliver the findings of a recent audit that focused around a death that occurred at this facility involving R1 at that time.
Based on a review of the records conducted by this Department it was concluded that this facility failed to provide timely medical assistance for R1.
The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulation, Health and Safety Codes.
A civil penalty in the amount of $500 was issued today on the following LIC 421 IM.
Appeal rights were printed and a copy was given to the facility house manager, Jazmine Castillo, at this time.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction