Facility Evaluation Report

During a complaint investigation (15-AS-20241213161313) on 12/17/24. During staff interview Program Analysts (LPAs) K. Nguyen and L. Alexander discovered Administrator (ADM) Victoria Puruganan is not at the facility a minimum of 20 hours a week according to Administrator qualification. LPAs reviewed LIC 500 indicates ADM are present at the facility from Monday- 9am-3pm, Tuesday- 8am-2pm, Wed 9am-2pm, and as needed. Staffs stated within the month of November ADM showed up a maximum of three time. ADM gave permission for Jezrael to sign the report from the beginning of the visit.

*An immediate $250.00 civil penalty will be assessed on today's date for reported violation within 12month. *

Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided.