Highland Senior Home Care

Allegation investigated: Licensee did not safeguard resident's personal property.

On 08/28/2026 at 2:10PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegation. LPA discussed the purpose of the visit with staff, Francisco Gramonte. . The allegation that licensee did not safeguard resident's personal property: LPA interviewed staff, Resident 1 (R1) and a relative of R1. Staff denied the allegation and stated that they do not open the resident's mail. R1 and their relative stated that they have received mail that has been opened. Based upon interview, record review and due to lack of/or limited supportive information, this allegation is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report LIC9099 was discussed and provided to staff, Francisco Gramonte. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 28, 2026 · control 56-AS-20260212085757

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Aug 28, 2026

87468.1(a)(1) Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(1) To be accorded dignity in their personal relationships...This requirement was not met as evidenced by: Based on interview the Licensee/Administrator did not ensure that R1 was treated with dignity which posed an immediate risk to the health and safety of resident in care.the state’s words, verbatim · CDSS document, Aug 28, 2026

Plan of correction: The Licensee/Administrator will complete a training on cultural sensitivity/diversity when providing care and conduct a staff training on residents mail/packages and submit proof to LPA by Plan of Corretion (POC) due date. Plan of correction completed as of 02/27/2026.

Type of visit: Required - 1 Year

On 03/24/2026 at 11:45AM , Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with staff Pat Salinas and Administrator Amparo Liwanag was contacted via telephoned and informed of the purpose of the visit. LPA greeted staff and was granted entrance into the facility. Administrator Amparo Liwanag arrived to the facility at 2:00PM and gave permission for staff to sign for completed inspection report at the conclusion of the visit. LPA informed Administrator of deficiencies. LPA was informed that there are currently five (5) residents in care. The facility has three (3) bedrooms, two (2) bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard with 2 sheds. LPA completed a walk through of facility with Staff, Francisco Gramonte, reviewed records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 122 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There is no swimming pool, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, one (1) side gates with self-latching handle on the side of the house that leads into the backyard. Record Review: LPA reviewed three (3) staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Four (4) deficiencies and five (5) Technical Violations were given during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102 and Appeal Rights were discussed and copies were provided to Staff, Francisco Gramonte.the state’s words, verbatim · CDSS document, Mar 24, 2026

The state marks this report as 11 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

On 02/25/2026 at 9:15AM Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to the residence to conduct a Case Management visit and to audit medications. LPA was greeted by staff, granted entrance into the residence and stated the purpose of the visit. LPA met with staff, Francisco Gramonte. LPA completed an audit of medications for four (4) residents and reviewed both the Medication Administration Records (MAR) and the Centrally Stored Medications List (CSM). LPA observed that Resident 1 (1) was missing three medications listed on their CSM list. Resident 3 (R3) had two medications that were not listed on their CSM. Resident 4 (R4) had one (1) medication in their bubble pack, but it was not listed on the MAR. LPA did not observe physician's orders for the residents that were prescribed medications. In addition, LPA observed that prior to administering medication prescribed for the afternoon and bedtime, staff had already initialed the MAR. A deficiency will be cited. LPA reviewed the Department's Unusual Injury Report log and it revealed that the Licensee/Administrator did not report several incidents involving the health and safety of R1. A deficiency will be cited. An exit interview was conducted where this report LIC809, LIC809D and Appeal Rights were discussed and copies were provided to staff, Francisco Gramonte.the state’s words, verbatim · CDSS document, Feb 25, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(c)(3) · Plan of correction due date: Feb 26, 2026

87465(c)(3) Incidental Medical and Dental Care (c)If the resident's physician has stated in writing that the resident is unable to determine his/her..(3) A record of each dose is maintained in the resident's record. This requirement is not met as evidenced by: Based on record review, the facility did not ensure that R1, R3 and R4 had completed information on their Medication Administration Record (MAR) and/or their Centrally Stored Medications List (CSM), which posed an immediate risk to the health and safety or residents in care.the state’s words, verbatim · CDSS document, Feb 25, 2026

Plan of correction: The Licensee/Administrator will review all of the residents' MAR and CSM, update them, conduct a staff training on medications and submit proof to LPA by Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87211(1)(D) · Plan of correction due date: Feb 26, 2026

87211 (1)(D) Reporting Requirements (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days...(D) Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by: Based on interview and record review, the Licensee/Administrator and confirmed that several incidents involving R1 were not reported, which posed an immediate risk to the health and safety of resident(s) in care.the state’s words, verbatim · CDSS document, Feb 25, 2026

Plan of correction: Licensee/Administrator will review Title 22 related to reporting requirements and submit signed statement to LPA by Plan of Correction (POC) due date.

Type of visit: Required - 1 Year

On 03/10/2025 at 12:39PM , Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with staff Pat Salinas and Administrator Amparo Liwanag was contacted via telephoned and informed of the purpose of the visit. LPA greeted staff and was granted entrance into the facility. Administrator Amparo Liwanag arrived to the facility at 2:00PM and gave permission for staff to sign for completed inspection report at the conclusion of the visit. LPA informed Administrator of deficiencies. LPA was informed that there are currently five (5) residents in care. The facility has three (3) bedrooms, two (2) bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard with 2 sheds. LPA completed a walk through of facility with Staff, Pat Salinas, reviewed records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There is no swimming pool, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, one (1) side gates with self-latching handle on the side of the house that leads into the backyard. Record Review: LPA reviewed three (3) staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Two deficiencies, a Technical Violation and a Technical Assistance were given during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102 and Appeal Rights were discussed and copies were provided to Staff, Pat Salinas.the state’s words, verbatim · CDSS document, Mar 10, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Illegal eviction

On 12/17/2024 at 2:25PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegation. LPA explained the purpose of the visit to staff, staff notified the Administrator. First allegation: Illegal eviction Regarding the first allegation, Illegal eviction. Based on phone interviews and record review, including emails between the Administrator and the Public Guardian, LPA Small was made aware that Resident #1 (R1) was sent to the hospital on 08/28/2024 and the facility refused to accept R1 back into care because R1 was in need of a higher level of care. Although LPA was provided a copy of the 30-Day Eviction letter, LPA could not confirm that the letter was given to R1 or the Public Guardian. The facility was not allowed to refuse the resident based on title 22 regulation 87224 (a) (2). Based on the evidence gathered during the investigation, the above allegation is SUBSTANTIATED. Substantiated SUBSTANTIATED is defined as The “preponderance of the evidence” standard has been met. A deficiency will be cited. On 12/17/2024 at 3:35PM LPA Small spoke with Amparo Liwanag on the phone during the visit and informed her of the findings. An exit interview was conducted and a copy of this report, LIC9099, LIC9099C, LIC9099D and Appeal Rights was left with staff.the state’s words, verbatim · CDSS document, Dec 17, 2024 · control 56-AS-20240912153022

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87224(a)(2) · Plan of correction due date: Dec 18, 2024

Eviction Procedures A licensee of a licensed residential care facility for the elderly shall, prior to transferring a resident of the facility to another facility or to an independent living arrangement as a result of forfeiture of a license...(2) Provide each resident or the This standard was not met as evidenced by: Based on interviews, observation and record review, the licensee did not ensure that the licensee followed eviction procedures which poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 17, 2024

Plan of correction: Administrator will read over regulation and provide a same day written statement indicating the acknowledgement and review of the regulation. Administrator will send a copy of this signed statement to LPA by Plan of Correction due date.

Allegation investigated: Staff did not accord resident with comfortable accomodations. Staff did not provide assistance in meeting necessary medical needs for resident. Staff did not provide resident a copy of the admission agreement. Unlawful Eviction.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with staff Elfrida Siagian and explained the purpose of the visit. The Administrator Amparo Liwanag was contact and inform regarding today’s visit. The investigation consisted of staff interviews, resident interviews and record review. For the allegation, Staff did not accord resident with comfortable accommodations. During resident interviews 4 out of the 6 residents stated they feel comfortable at the facility. In addition, 4 out of the 6 residents also stated the facility is kept at a comfortable temperature and the AC has not been broken. 2 out of the 6 residents were unable to collaborate on the allegation. In addition, during staff interviews 3 out of the 3 staff stated they ensure residents feel comfortable will accommodate their needs.During facility tour, LPA observed the facility AC unit to be working throughout the hallways, common areas and resident bedrooms. Unsubstantiated For the allegation, Staff did not provide assistance in meeting necessary medical needs for resident. During resident interviews, 4 out of the 6 residents stated they receive medical assistance by the staff. 2 out of the 6 residents were unable to collaborate on the allegation. In addition, during staff interviews 3 out of the 3 staff informed LPA they meet residents medical needs and will assist with their doctor appointments. For the allegation, Staff did not provide resident a copy of the admission agreement. During resident interviews, R1 admitted to LPA the facility did provide an admission agreement copy. During record review, LPA Rico verify R1 had an admission agreement. During staff interviews, 1 out of the 3 staff stated that R1 was provided with a copy of their admission agreement. For the allegation, Unlawful Eviction. During staff interviews, S1 stated that R1 did not pay their room and board for the month June 2024. S1 stated they provided the eviction notice to R1 and submitted to the proper documents to Community Care Licensing. S1 also stated the facility is no longer continuing with the process of eviction because R1 has now made their payments. During resident interviews, R1 admitted to not paying their room and board, and also stated they are no longer being evicted. During facility tour, LPA observed R1 is still a resident at the facility and their personal belongs are still located in their bedroom. During record, LPA verify eviction notice was provided to Community Care Licensing. Based on the evidence found during the investigation, the four (4) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to staff Elfrida Siagian.the state’s words, verbatim · CDSS document, Nov 18, 2024 · control 56-AS-20240724160526

Type of visit: Case Management - Deficiencies

On 09/16/2024 at 12:45 PM, Licensing Program Analysts (LPAs) Renese Howell-Small and Melody Brown met with a staff Francisco Gramonte to initiate a Case Management visit. The investigation consisted of observation, interviews, and a review of pertinent documentation. During the facility visit today, 09/16/2024, Licensing Program Analysts (LPAs) Howell-Small and Brown observed Staff #3 (S3) working at the facility. S3 reported to LPAs Howell-Small and Brown that S3 started working at the facility the first week of August 2024. LPAs Howell-Small and Brown cross referenced the Guardian database and observed that Staff #3 (S3) has a criminal background clearance, but S3 was not associated to the facility as S3 criminal background clearance was not transferred to the facility prior to employment on 08/2024. Moreover, during the facility visit today, 09/16/2024, Staff #2 (S2) reported to LPA's Small and Brown that S3 started working at the facility on 08/2024. LPA's Howell-Small and Brown informed staff, Gramonte that a deficiency will be issued, and Civil Penalties were assessed with the amount of $500.00 for S3 working at the facility without criminal background clearance transfer prior to employment and will continue to be assessed of $100.00 per day per citation until corrected. In addition, during the tour of the facility, LPAs Howell-Small and Brown observed one (1) gallon of bleach in the laundry room, and two (2) spray bottles of cleaning solution in the residents’ bathroom and are not locked and are accessible to residents in care. Deficiency will be issued. Moreover LPA's Small and Brown observed that the facility has a non-operable carbon monoxide alarm. A deficiency will be issued. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to staff Francisco Gramonte.the state’s words, verbatim · CDSS document, Sep 16, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Sep 17, 2024

87705(f)(2) Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medicatioh, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: based on observation, interview and records review, the Licensee did not comply with the section cited above by not ensuring the one (1) gallon of bleach and two (2) spray bottles of cleaning solution were locked and inaccessible to residents, which poses an immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 16, 2024

Plan of correction: Licensee immediately lock the one (1) gallon of bleach and two (2) spray bottles of cleaning solution during the visit. Licensee stated to train all staff on CCR 87705(f)(2) and submit proof of staff training log to LPA Small on Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87355(e)(2) · Plan of correction due date: Sep 27, 2024

87355(e)(2) Criminial Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569. 17(b) shall prior to working...(2) Request a transfer of a criminal record clearance as specified in Section 87355(c). This requirement is not met as evidenced by: based on observation, interview and record review, the Licensee did not comply with the section cited above by not transferring S3's criminal records background clearance to the facilty prior to employment on 08/2024 which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 16, 2024

Plan of correction: Licensee stated to transfer S3's criminal record cllearance to the facility and submit proof to LPA Small on POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.311 · Plan of correction due date: Sep 17, 2024

Health and Safety Code 1569.311 Carbon monoxide detectors required, inspection. Every residential care facility for the elderly shall have one or more carbon monoxide detectors in the facility that meet the standards...This requirement is not met as evidenced by: Based on observations and interview, the Licnesee did not comply with the section cited above by not ensuring that the carbon monoxide detector at the facility is in good working condition which poses an immedicate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 16, 2024

Plan of correction: Licensee stated to obtain/purchase an operable carbon monoxide detector and submit proof to LPA Small on Plan of Correction (POC) due date.

Type of visit: POC

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility as a proof of correction visit for deficiencies issued during the facility's recent annual inspection on 01/19/24. LPA met with care provider Pat Salinas who was informed of the reason for the visit. During today's visit, LPA spoke with Resident and observed them use their half rail for mobility. LPA reviewed emergency and disaster training and log. LPA observed care staff training manual and hospice care training logs. LPA phoned Licensee to remind them that hospice care training should reflect the hospice care plan. Letters of Deficiency Citation Cleared were issued today. No deficiency was issued during today's visit. An exit interview was conducted where this report was discussed with Ms. Salinas.the state’s words, verbatim · CDSS document, Jan 29, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to conduct a required annual inspection. LPA was met by care provider Pat Salinas who was informed of the purpose of the visit. SAlinas phoned Licensee Amparo Liwanag and spoke with LPA. LPA informed Licensee of the reason for LPA's visit. LPA and Salinas toured the interior and exterior of the facility. The facility is licensed for 6 non-ambulatory residents with a hospice waiver for three (3). Physical Plant and Safety of Environment/Operational Requirements: LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature was measured and found to be comfortable for residents. Laundry facilities and locked cabinets were present for storing laundry soap and other chemicals. Fire extinguishers are charged. All outdoor and indoor passageways and ramps are free of obstruction. The facility does not have bodies of water. A locked area is provided for medications and sharp objects. There is a working telephone at this location. The LIC 610E, emergency disaster plan is maintained. The facility is maintained in conformity with the regulations adopted by the state fire marshal. Personnel Records/Training/and Staffing: LPA reviewed employee records for fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. LPA did not observe training on needs for residents receiving hospice services. This poses a potential health and safety concern for clients in care. Resident Records/Incident Reports/Personal Rights/Residents with Special Needs/Incidental Medical and Dental: LPA reviewed resident records and found that they contained records including, admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, safeguard for personal property/valuables, and personal rights notification. The facility is meeting documentation requirements. Resident Rights are posted in the facility and a copy is signed on file. During the visit, LPA and staff observed Resident 1 (R1) non-prescription PRN medication without a physician's order. This poses a potential health and safety risk to clients in care. Food Service: LPA Bueno was present during lunch time. LPA observed the meal is adequate to meet the nutritional needs of the residents. Food supply meets the requirement of one week supply of nonperishable and 2-day supply of perishables food on hand. The kitchen area is kept clean. LPA Bueno made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors were tested by staff while LPA Bueno tested the hallway carbon monoxide detector. All units were found to be operational. During today's visit, LPA found Resident 2 (R2) with full bed rails and was not receiving any home health or hospice services. LPA was also informed that there is no documentation for disaster drills available. These pose potential health and safety risks to clients in care. Based on the information received during this visit today, the following deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. Refer to LIC 809D for cited deficiencies. This report and LIC 809D were reviewed by phone wiht Licensee Liwanag and a copy provided to the facility representative. Appeal Rights were also provided at the time of the exit interview.the state’s words, verbatim · CDSS document, Jan 19, 2024

The state marks this report as 10 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility did not provide coverage by personnel with adequate qualifications in administrator's absence. Facility did not complete the admission agreement within seven days following admission. Facility did not provide a copy of the admission agreement to the resident's representative.

Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to commence a complaint investigation regarding the allegations listed above. LPA met with Caregiver, Franciso Gramonte and spoke over the phone with Administrator, Amparo Liwanga, and explained the purpose of the visit and the elements of the allegations. LPA Banrasavong conducted the investigation which consisted of observation, interviews with staff members and residents, and record review. LPA Banrasavong was unable to contact additional witness, staff, and Resident in order to obtain additional information. Resident passed away 10/05/2020. On 10/08/2020, Community Care Licensing received a complaint stating that the facility did not provide coverage by personnel with adequate qualifications in administrator's absence, facility did not complete the admission agreement within seven days following admission, and facility did not provide a copy of the admission agreement to the resident's representative. (Continued on 9099-C) Unsubstantiated (Continuation from 9099) In regards to the allegation that the facility did not provide coverage by personnel with adequate qualifications in the administrator’s absence. It was reported that Administrator, Amparo Liwanag left unqualified staff in charge at the facility in her absence. The allegation stated that the staff called an additional witness after finding Resident 1 (R1) in need of medical attention. It was reported that the additional witness had to advise the staff to call 911. LPA Banrasavong was unable to obtain additional information and/ or documentation pertaining to the incident. In regards to the allegation that the facility did not complete the admission agreement within seven days following admission and did not provide a copy, it was alleged that the administrator did not provide the responsible party of R1 with a completed copy of the admission agreement. During the investigation, LPA requested documents pertinent to the investigation; however, Administrator stated that the documents older than 3 years were discarded and she does not have any documents from Resident’s file. Administrator stated she always provided the admission agreement to every resident prior to their residency. Additional information could not be obtained. (Continued on 9099-C) (Continuation from 9099) Based on LPA’s observation, interview conducted, and record reviews, the preponderance of evidence shows that the allegations of facility did not provide coverage by personnel with adequate qualifications in administrator's absence, facility did not complete the admission agreement within seven days following admission, and facility did not provide a copy of the admission agreement to the resident's representative, there is not enough evidence to show that the allegations did or did not occur. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation are unsubstantiated. An exit interview was conducted, a copy of this report, along with the LIC 811, was provided to the Administrator, Amparo Liwanga and signed by the Caregiver, Franciso Gramonte.the state’s words, verbatim · CDSS document, Dec 14, 2023 · control 18-AS-20201008152610

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a case management visit and follow up on the supposed sale of facility and property. LPA met with care provider Francis Gramonte who was informed of the purpose of today's visit. LPA phoned licensee and administrator Amparo Liwanag who was informed of the visit. On 10/2/23, the San Bernardino Regional Office received a mailed notice that Licensee is selling their facility. During a phone call between LPA and Licensee on 10/9/23, Licensee Liwanag confirmed that the property is for sale however there were no offers to date. LPA informed Liwanag that the facility license is non transferable and the new owner must submit their application to obtain their own license. During today's visit, LPA Bueno phoned Licensee Liwanag. Liwanag stated that the sale of the home is on hold and that they will revisit this possibility in December 2023. Liwanag added that they gave written notice to residents' responsible parties of the sale but that responsible parties were verbally notified that the sale is on hold. LPA reminded Licensee to provide updates to CCL and to submit a copy of the written notice sent to residents. No deficiency was cited during today's visit. An exit interview was conducted where this report was discussed and provided to the facility staff.the state’s words, verbatim · CDSS document, Nov 13, 2023