Facility Evaluation Report

Unannounced Case Management - Deficiencies visit made out to this facility on 12/04/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Tomas Bello. A brief interview was conducted with the facility staff person at this time. This LPA requested that the facility staff person go ahead and contact the facility Licensee, Lillian Bello Wisco, to inform her that CCL was present at this time.

The facility Licensee, Lillian Bello Wisco, was not present and not able to come to this facility at this time. A facetime call was conducted with the facility Licensee over the phone. A brief interview was conducted with the facility designated Licensee.

The purpose of this visit was to follow up on the deficiencies that were cited from prior post licensing visit conducted on 09/30/2024.

The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes.

A civil penalty in the amount of $500 was issued during today's case management visit on the following LIC 421IM (7/17).

Appeal Rights were printed and a copy was given to the facility staff person Tomas Bello at this time.