Correction check·August 6, 2025

Licensing Program Analyss (LPA) Christi Coppo arrived unannounced to conduct a POC Case Management and was greeted by caregiver. Licensee Luningning Alicdan arrived later. On of 7/31/2024 licensee agreed to be on a Non-Compliance plan. The areas of concern were identified as: · Administrator Duties and Plan of Operation · Staff Training · Resident and staff records · Resident Care and Personal Rights · Insufficient Staffing · Failure to clear deficiencies timely · Medication Management · Failure to follow through with TSP On 7/1/25 LPA conducted a Non-compliance visit at the facility. Two areas of concern for which the licensee is on non-compliance were identified as being deficient: Administrator qualification and duties and staff training. During this visit, a citation was issued for deficiency of Health and Safety Code (HSC) 1569.625(b)(2) as staff (S2 and S3) did not have the annual required number of staff training hours completed . A plan of correction was issued for licensee to have staff S2 and S3 complete the required Continued on 809C.... Continued from 809... number of annual training hours. The plan of correction due date by which the training was to be completed was 7/22/25. Licensee submitted the plan of correction for HSC1569.625(b)(2) by the plan of correction due date. Deficiency has been cleared. At the same visit on 7/1/25, LPA also issued a citation for deficiency of regulation 87465 Administrator qualifications and duties, as licensee does not have a current Administrator certificate. A plan of correction was issued, requiring Administrator to submit copy of their current Administrator certificate. Plan of correction due date was 7/22/25. As of today, licensee still does not have an active Administrator certificate nor have they hired a qualified administrator. So, deficiency is being re-cited today ( see 809D ). Due to logistic reasons, licensee will not be able to obtain an administrator certificate until 12/2025. LPA and licensee discussed plan to hire an administrator. Licensee has enrolled two [2] of her staff in the Administrator certificate classes, both of which begin on 8/19/25. LPA advised that the facility cannot be without an administrator while waiting for the staff to complete their training courses. Licensee advised LPA they are having an extremely difficult time finding a qualified RCFE administrator, but that they have not ceased efforts. Licensee is in consistent contact with LPA concerning this deficiency of regulation. LPA advised licensee that having consistent deficiencies pertaining to the areas of concern for which they were placed on non-compliance may lead to further action by CCL, such as civil penalties and/or revoking their license. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given