Follow-up on corrections·December 19, 2023

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced at Elderly Care on Calmia on 12/19/2023 for the purpose of addressing a deficiency. LPA met with staff member. During recent inspection on 12/07/2023 LPA toured the facility and observed changes in the facility's layout due to the addition of a wall in kitchen area; which added an additional bedroom to the facility. A new facility sketch was not submitted to the Department, and an inspection by the Fire Department was not requested as per regulation. (See LIC 809D and Civil Penalty) . The following deficiencies were observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Civil Penalty assessed in the amount of $500.00 (See LIC 421M dated for December 19, 2023) Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in additional civil penalties. Exit interview conducted with the and appeal rights provided. **An immediate civil penalty in the amount of $500 was assessed today for the fire clearance violation. Deficiencies cited (see LIC809-D page) from the California Code of Regulations, Title 22, Division 6. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Appeal Rights Provided. LPA is requesting the submission of the following: LIC200 Updated facility sketch Request for Fire Department Inspection Exit interview conducted with Paulin Pantig, House Manager, whose signature on this document