Complaint Investigation Report

Allegation: Staff (S1) w orking in the facility is not fingerprint cleared.

Although S1 denied working at the facility, the 2 staff and 2 clients stated S1 works in the facility on weekends. Based on information obtained, S1 worked 3 days this month of December. Licensee stated S1 works to assists her in cleaning. Review of staff roster showed S1 is not fingerprinted and associated. Therefore, the allegation is substantiated.

Deficiencies are cited from Title 22 California Code of Regulations, and listed on 9099Ds. A $300.00 civil penalty is assessed for deficiency section 80019(e)(2). Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties.

Deficiencies and plan and proof of corrections were discussed with the administrator and on the phone with licensee.

Exit interview conducted. Appeal Rights, LIC421BG Civil Penalty Assessment, LIC9098 Proof of Correction form, and copy of this report provided.