Senior Care Records.

Facility Evaluation Report

Villa Mariposa Senior Care, Nipomo12/15/2022Licence 405802262

Capacity6
Census2
Date signed12/15/2022 04:28:31 PM
The inspector’s account

Licensing Program Analysts (LPA's) De Leon and Jeffries conducted a case management (CM) visit to the facility above. LPA's met with Staff, Licensee Herbert "Hans" Salamanca was unable to make the visit. LPA explained to staff the purpose of the visit.

Community Care Licensing received United States Postal Service (USPS) mail from the facility insurance company that the Liability insurance was being cancelled for non-payment. LPA De Leon called Licensee on 11/21/2022 requested a new copy of liability insurance and Licensee explained at the time they were in the process of obtaining new insurance and it would be about 3 weeks before they could provide evidence of new insurance records.

LPA De Leon requested a new copy of the facility liability insurance today and Licensee said they were in the process of obtaining but did not have any current records of proof of insurance. Licensee stated he could provide the paperwork of it being in process if needed.

As of today 12/15/2022 the facility does not have current liability insurance.

Exit interview conducted, deficiency cited, copy of report and appeal rights emailed to Licensee.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction