Facility Evaluation Report

On 9/15/2022, during the course of another visit, Licensing Program Analyst ( LPA ) K. Nguyen interviewed staff. Based on the interview, staff (S1) was present at the facility on 9/15/2022 and worked morning shift . Based on the interview with S1 has been working at the facility for about a 6months. LPA conducted records review using guardian system and S1 is not fingerprint cleared from DOJ & FBI.

Civil penalty was assessed during today’s visit.

Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties.

Deficiency, plan and proof of correction and civil penalty were discussed with Mirriam Paras.

Exit interview conducted. Appeal Rights, LIC421IM Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided