Follow-up on corrections·November 25, 2025

At approximately 2:00 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a Case Management - Deficiencies and Plan of Correction (POC) visit to issue civil penalties. LPA met with Designated Responsible Party (DRP), Luisita Makalintal. Administrator, Madonna Grace Martinez was contacted via telephone and DRP left a message regarding today's visit. LPA toured the building and found it to be clean and orderly. Food was plentiful and stored in a safe manner. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care. During the 10/22/2025 Quarterly Case Management - Legal/Non-Compliance Visit, LPA reviewed and discussed all previously uncleared Plans of Correction (POCs) for nine (9) citations issued since the initial legal non-compliance office meeting held on 06/26/2024 with Administrator who agreed to clear by EOB 10/31/2025 in order to bring the facility into compliance with regulations. The citations issued were for the following areas of concern: Medication Administration Prompt Response to Resident's Representative Admissions Agreements Reporting Requirements Staff Training Appraisal Needs and Services Plans Staffing Postural Support Orders Continued on LIC809-C... Continued from LIC809... Due to a failure to clear the POCs, LPA returned to facility on 11/13/2025 to reissue all nine (9) citations and informed Administrator that a failure to correct the citations by the POC due date of 11/14/2025 would result in LPA returning to issue civil penalties. As of today, 11/25/2025, Administrator has not made contact with the Department and has not submitted the requested paperwork to correct the citations issued. A civil penalty of $100 per day, for each of the nine (9) citations issued for eleven (11) days is being issued, totaling $9,900. A civil penalty of $100 per day, per citation will continue to be assessed until the requested information has been received by the Department. LPA attempted to contact Administrator via telephone and left a voicemail regarding today's visit. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat citations within a twelve month period, may result in a civil penalty assessment. **An Immediate Civil Penalty in the total amount of $9,900.00 is being assessed for failure to correct Plans of Correction by due date, which poses/posed an immediate health, safety, and/or personal rights violation to persons in care, (see LIC421FC).** Exit interview conducted with DRP whose signature on form confirms receipt. Appeal rights were given.