Facility Evaluation Report

On 07/17/25 at 12:30 PM, while at the facility for another reason, LPAs Y. Brown and D. Panlilio conducted a case management visit to discuss administrator duties (must be present at the facility for a minimum of 20 hours per week) and reporting requirements with Executive Director (ED) Dolly Rizvi.

LPAs also discussed the Emergency/ Disaster Plans with ED/ADM and requested updated reviewed copies with dates and signatures during visit. LPAs advised ED/ADM to conduct monthly staff meetings and discuss fire safety/emergency/disaster procedures and timely reporting requirements. ED/ADM confirmed with LPAs that no incident reports were submitted to CCLD for the emergency exit blockages on the 3 rd , 4 th and 5 th floors of the facility.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D.

Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties .

Exit interview conducted. Appeal Rights and a copy of this report Provided.