Facility Evaluation Report

On 10/10/2024 at 8:30 AM, Licensing Program Analysts (LPAs) James Sampair and Jill Clancy-Czuleger arrived unannounced to conduct a Case Management – Deficiencies inspection of the facility. Upon entry the LPAs informed Licensee Ericka Tillis of the reason for the visit.

1 Type-A and 2 Type-B citations issued during the inspection.

Deficiencies are cited per Title 22 California Code of Regulations as listed on the LIC 809-Ds. $250.00 Civil Penalty assessed for repeat violation of Section 87309(b). $500.00 Immediate Civil Penalty assessed for serious violation of Section 87204(b). Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties.

Exit interview conducted, a copy of this report, and the appeal rights were provided.