Facility Evaluation Report
Capacity48
Census40
Date signed06/14/2024 03:56:32 PM
Licensing Program Analyst (LPA) Steve Chang conducted an unannounced Collateral visit and Met with the facility Medication Manger Jimena Pulido (MM).
The purpose of the visit was to interview resident R1 and to collect R1's medical records as part of a complaint investigation of another licensed facility..
During the visit, LPA interviewed MM, resident R1, and 3 staff (S1 - S3).
LPA requested R1's medical records and medical notes.
The report was provided to MM for signature. A copy of the report was provided to MM.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction