Senior Care Records.

Facility Evaluation Report

Le Elen Manor II, Santa Rosa08/26/2021Licence 490110534

Capacity20
Census20
Date signed08/26/2021 11:31:27 AM
The inspector’s account

Licensing Program Analyst (LPA) Cuadra conducted a case management visit to cite deficiencies discovered during a complaint investigation and met with Licensee, Tony Guevarra. LPA conducted risk assessment call with Licensee, Tony Guevarra prior to the visit.

LPA learned through interviews on 7/29/21 with Licensee and Administrator had failed to submit Eviction Notices issued to Client (C1) to CCL within 5 days of occurrence as stated per regulation (85068.5 Eviction Procedures)

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the defi ciency and/or repeat deficiencies within a 12-month period may result in civil penalties.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction