Facility Evaluation Report

On July 29, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management -other visit. LPA met with caregiver, Remus Buensuceso and LPA explained the purpose of today's visit. Caregiver contacted the administrator/licensee over the phone and informed him of LPA's visit.

During today's visit, LPA toured the facilty with caregiver, and LPA observed all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort.

During today's visit, LPA also requested for a copy of the liability insurance as the copy on file has expired on June 2026 and this observation was reported to the administrator/licensee during the annual inspection on 4/16/2026. The administrator reported that he was working on it with the insurance company.

On June 1, 2026, LPA requested for a copy of the current liability insurance and the administrator/licensee stated that he was still working on it with the insurance company. The administrator also requested for documents from CCL that were requested by the insurance company and those documents were provided. Subsequently, LPA has been following up with the administrator/licensee via phone calls and written communication, however, as of today, the administrator/licensee was not able to provide a copy of the current liability insurance.

Deficiency is cited under Health and Safety Code, Title 22 Division 6 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties.

This report is reviewed and discussed with caregiver, Remus Buensuceso. A copy of this report and the appeal rights were provided.