Facility Evaluation Report

While at the facility conducting a case management visit for the AWOL incidents, Licensing Program Analyst (LPA) observed during inspection and learned the following from interviews:

1. Overgrown weeds about 1 to 2 feet high in the backyard.

2. Bed frame, head board and bed rails in the side yard.

On 9/31/23, a Non-compliance Conference (NCC) was conducted with the licensee and one of the compliance plans was to have the administrator be present in the facility 40 hours per week. On this day, 5/08/24, LPA reviewed the schedule which showed the administrator is at the facility Monday through Friday from 5:00 pm to 8:00 pm and on-call on Saturdays and Sundays. LPA verified, and the administrator confirmed his schedule of work which is less than 40 hours/week.

Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. A $250.00 civil penalty is assessed for each of the repeat violation of deficiency section #'s 87405(a) and 87303(a). Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties.

Deficiencies, plan and proof of corrections and civil penalties were discussed with the administrator. Administrator has to leave and authorized Maura White to sign and receive this report.

Exit interview conducted. Appeal Rights, LIC9098 Proof of correction form, LIC421FC, and copy of this report provided.