Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of reviewing the personnel report (LIC500) due to a change of administrator and met with Bertrand Mendiola, back up administrator.

During today's visit, LPA confirmed that designated administrator is associated to the facility. Per Personnel Report (LIC500) indicates administrator's schedule listed for two days per week and back up administrator is listed as working 40 hours per week. Previously, LPA raised concerns during pre-licensing visit on 12/15/2022 due to Licensee was going to be listed as the administrator, but their residency is a distance away from the facility and it was determined in written plan submitted at that time that Licensee agreed to spends a reasonable amount of time in the facility, resident's care needs will be met in case of an emergency and Community Care Licensing inspections. Based on records review, back up administrator's certification is still pending under the department's review list, but it was confirmed that their schedule is within compliance with regulation. However, LPA had a conversation with them to ensure previous plan agreed was still been followed.

No deficiencies noted at the time of this visit.

Exit interview conducted with back up administrator and a copy of this report was given.