Facility Evaluation Report

At approximately 09:50 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced for the purpose of conducting a required annual inspection and quarterly Case Management-Legal/Non-compliance (NCC) Inspection and met with caregiver Lorna Valasquez who has Designation of Facility Responsibility (RP). House Manager Gwen Martinez was advise of today's inspection. House Manager arrived at approximately 10:15 AM to further assist with today's inspection.

LPA was advised that there were four (4) residents in care, all of which were present during today's inspection.

Facility is licensed for six (6) residents, five (5) of which can be non-ambulatory, one (1) bedridden and has a hospice waiver for three (3) residents.

This facility was placed on a Non-Compliance Conference (NCC) on 06/26/2024 for a two-year term by Community Care Licensing (CCL); Concerns addressed in that NCC meeting on 06/26/2024 were:

Active Administrator in place for facility oversight per regulation

Timely response to CCL when communication is engaged