Facility Evaluation Report

On 3/8/2023 at 2:30PM, Licensing Program Analysts (LPAs) K. Nguyen and G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPAs met with caregiver, Ofelia Calderon Caregiver.

Facility has the following deficiency that was not cleared and were issued on 2/9/2023 from Health and Safety Code:

- HSC1569.652(c); LPA. K. Nguyen did not receive POC due on 2/24/2023 and licensee have not provided the documents regrading refund.

Civil Penalties in the amount of $1200 is assess for the period of 2/25/23 to 3/8/23 for failure to correct for the deficiency HSC1569.652(c). Facility is subject to ongoing civil penalties until deficiency is corrected.

Exit interview conducted. A copy of this report, civil penalty, and appeal rights provided.