Facility Evaluation Report

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Cleofe Lucas.

During visit, LPA reviewed the resident records of staff S1-S3. S1 had a Health Screening form that indicated S1 had been cleared of TB on 01/17/2025. S2 had a tuberculosis exam dated 05/23/2025. S3 stated to have started started working at the facility on 06/12/2025 and took a tuberculosis test on 06/12/2025. During visit, S3 received a telephone call from S3's doctor saying S3's tuberculosis test was complete and S3 needed to arrive at the clinic to pick it up. During visit, LPA Marrufo received a copy of Administrator Diana Fontanilla's tuberculosis test via email.

LPA Marrufo requests that a copy of S3's tuberculosis exam be sent to CCL by 06/17/2025.

No deficiencies were cited at this time as per California Code of Regulations Title 22.