Follow-up on corrections·April 8, 2026

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced Case Management visit at 1:43PM. The LPA met with staff and explained the reason for the visit. The Licensee Rolando Lazatin arrived at 2:31PM. Entrance interview conducted. Beginning at 1:50PM, the LPA conducted a physical plant tour with staff. On 07/27/2006, the facility was granted a fire clearance for a total of five (5) non-ambulatory residents. The floor plan indicated Bedroom #1 was a staff room and Bedrooms #2, #3, and #4 were resident bedrooms. Currently, the facility has a total of six (6) bedrooms. Bedroom #1 is utilized as a resident bedroom and Bedroom #4 was split into two (2) bedrooms with a built-in wall. The Licensee stated a building permit was not needed and did not have documentation. Staff confirmed that the new staff room was a previous hallway walk-in closet. Further record review revealed that on 06/28/2019, the facility had six (6) residents, however, it was only cleared for a capacity of five (5). On 08/07/2024, LPA Sandra Urena and Erica Mosley conducted an annual visit and observed the facility’s floor plan did not reflect what was on file with the Department. The facility was cited with a plan of correction to provide the Department with an updated floor plan and obtain a new fire clearance. The plan of correction was not met as a new fire clearance was not obtained. Report Continued on LIC 809-C On 08/05/2025, LPA Huynh conducted an annual visit and inquired about the fire clearance to which the Licensee stated they contacted the city for clearance the prior year and an inspection was conducted. The facility had corrections and provided them to the Inspector who allegedly provided verbal confirmation that the inspection was passed. However, no documentation of the inspection was provided. The LPA advised the Licensee to contact the city and obtain a new fire clearance. On 08/11/2025, the Department provided the city with a Fire Safety Inspection Request. On 02/27/2026, LPA Huynh contacted the city Inspector who stated that the last inspection was conducted on 08/30/2024 and was closed due to inactivity. On 03/09/2026, LPA Huynh contacted the Licensee via email requesting an update on the fire clearance and did not receive a response. During today’s visit, the Licensee stated that after the visit on 08/05/2025, they contacted the city and did no further follow up. The Licensee provided confirmation of a Pre-Inspection/Consultation Request dated 04/01/2026, however an inspection date has not been scheduled. The LPA also discussed reporting requirements and provided the Regional Office’s email to ensure all Incident Reports were received. An immediate civil penalty in the amount of $500 was assessed for a violation of the facility’s fire clearance. The Licensee was advised that failure to correct may result in additional civil penalties and the Licensee understood. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiency was cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.