Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra conducted an unannounced case management inspection of this licensed senior care facility and met with Administrator Lily Alcones. The purpose of this case management inspection is to follow up on uncleared deficiencies cited during annual visit conducted on 8/14/2025. As of today's inspection citations 87303 (a) with POC date extended to 8/20/25, 87303 (e)(3) with POC date extended to 8/20/25, 1569.269(a)(1) with POC date 8/22/25 and 87156(b)(1)(F) with POC date 8/22/25 are outstanding. On 8/15/25, Back up Administrator submitted an extension request of POC due date, which it was granted by LPA. On 8/20/25, back up administrator submitted an unlawful appeal request, where it was requested by LPM Bertozzi to clarify by providing supporting documentation for their appeal as well as submitting requested written plans and an explanation of why the citation should not have been issued to continue the appeal process. However, as of today CCL have not received any of the documentation requested to clear the outstanding deficiencies.

During today's visit, Administrator provided proof of correction for citations 87303 (e)(3). Deficiency cleared from annual inspection 8/14/2025. Administrator could not provide proof of to clear citation:

-87303(a) - Facility to submit requested written plan prior to start the expected construction on September 14, 2025, the written plan should address how the facility will ensure the health and safety of residents in care while the construction occurs, as well as materials and equipment handling inaccessible to residents in care. Staff will be required to continuously remind and check all residents to make sure that they are not going to the construction site and notify their responsible parties. Continue on LIC809C...