Follow-up·October 10, 2024

On this day, Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Samer Haddadin made an unannounced visit to the facility to conduct a case management visit. LPAs were greeted and granted entry by facility caregiving staff after introducing themselves and stating the purpose of the visit. Administrator Camille Santos and licensee Tristan Lingat were notified of the visit via telephone and arrived later to assist. LPAs initially came to the licensed location to conduct an annual visit for license #306005497. However, this license has been inactive since the initial licensing of the present licensed location on June 12, 2024. License 306005497 was verified to be inactive through interviews, review of resident and staff records along with a telephone call to former licensee Ignatius Rusli. There are currently six residents in care, five of which are receiving hospice care. The current license is observed to be posted. Current administrator certificates are also present on the premises. Upon reviewing two resident records maintained at the facility, LPAs observed the admission agreement had not yet been updated to reflect the current license number. A Technical Assistance Advisory Note was issued. At this time, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative.