Correction check·October 2, 2025

On 10/02/2025 at 2:15 PM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Plan of Correction (POC) visit and met with Executive Director, Liza Elegado. LPA explained the purpose of the visit to the Executive Director. LPA conducted an annual inspection on 08/28/2025 during which the facility was cited for deficiencies. LPA was unable to return for the Plan of Correction visits with due dates of 09/11/25, 09/12/25, 09/15/25, 09/19/25, and 09/25/25. Deficiencies not cleared by today’s visit will be re-cited, and civil penalties will be assessed for failure to correct in a timely manner. Deficiencies Cleared: CCR 87411(f) CCR 87303(i)(1)(A) CCR 87303(c) CCR 87506(a) CCR 87463(a) LIC809-C Continued LIC809-C (Page 2) Deficiencies Not Cleared: CCR 87303(a)(1) – Maintenance and Operation (Buildings and Grounds) Repeat violation. During inspection, LPA observed that the facility had not repaired/maintained required physical plant conditions to ensure the health and safety of residents. Civil Penalty $250.00 CCR 87463(h)(1) – Reappraisal Requirement Facility did not provide updated reappraisals for residents. However, appointments for residents are pending. LPA granted an extension to 10/25/25 new due date. An exit interview was conducted. A copy of this report, LIC421FC, and appeal rights were provided to the Licensee.