Reporting Requirements
MinorBased on record review, the licensee did not comply with the section cited above by not reporting to the department changes to the composition of the home, which poses a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
As a plan of correction, Licensee states they will submit an updated LIC 279 application form listing all current adults who reside in the home and report any changes in the home in a timely manner in the future. Raul Navarro Christina Nunez DATE: 07/29/2026 DATE: 07/29/2026 Page: 4 of 4
Standard 102416.2(a)(2) · Reporting Requirements
- State severity
- Type B
- Corrected at visit
- Not recorded
- Correction due
- Aug 12, 2026
- Technical assistance
- Not recorded
- Finding source ID
- ca:195700085:2026-07-29:102416.2(a)(2):1
- Visit source ID
- ca:195700085:2026-07-29:other