Facility Evaluation Report

Unannounced case management visit made out to this facility on 12/12/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the live-in caregivers, Jaime Velasquez and Cecilia Abieras, who were briefly interviewed at this time. Also present was another female third party contractor.

The purpose of this visit was to conduct a Health and Safety check on the facility and current residents at this time.

This LPA requested that the caregivers go ahead and contact the facility designated Administrator, Michelle Jangar, to inform her that CCL was present at this time. A brief conversation was held with Jangar at this time.

The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes.

This facility was cited and civil penalties were issued in the amount of $500 at this time per the LIC 421BG.

Appeal rights were printed and a copy was given to the facility staff person Velasquez at this time.