Facility Evaluation Report
On 2/19/2025 at 8:45 a.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management visit regarding an incident report that was received by the department on 2/18/2025 involving a resident. LPA met with staff and designated administrator (S1/DADM) Mark Arvin Agustin and staff Nilo Ambagan (S2) LPA stated the purpose of the visit.
LPA observed no resident present at the time of the visit and S1/DADM stated all residents were currently attending the day program. LPA observed that the facility was sanitary, organized, no debris or obstruction on the walkways and hallways. LPA conducted a file review and requested copies of the resident's file and staff file including but not limited to, staff certificate and training, designation of facility responsibility, resident roster, physician's report, appraisal needs and services plan, medication list, Individual Program Plan (IPP), medical assessments and progress notes.
No deficiency cited during today's visit. Due to insufficient information this case management will remain open until further investigation.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction