Facility Evaluation Report

On October 23, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management- Other visit to obtain a copy of the current Liability Insurance. LPA met with caregiver, Linda Mondejar and explained the purpose of today's visit.

During the facility annual inspection on 8/22/2024, LPA requested for a copy of the current liability insurance, and on 8/23/2024, LPA reminded the licensee in writing for a copy of the liability insurance.

During a case management visit on 10/17/2024, the Licensees/administrator stated that they did not have a copy of the liability insurance at the facility and they would provide a copy by 10/18/2024.

As of today, the Licensees did not provide a copy of the liability insurance.

During today's visit, caregiver called the licensees/administrator who stated that they did not have a copy of the current liability insurance and that they would work on it and provide a copy by 10/25/2024,

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, Linda Mondejar in person and administrator/licensee, Anthony Diaz on the phone. A copy of this report and the appeal rights were provided.