Facility Evaluation Report

Licensing Program Analyst (LPA) Maja Jensen arrived at above facility at approximately 4:00pm on 5/28/22 to deliver complaint findings. LPA met with acting Administrator Shea Duffey.

LPA Jensen reviewed records including but not limited to client files, staff roster, staff schedules, text messages and photographs. LPA Jensen also conducted interviews with 4 staff members, two administrators and 1 client. During the course of the investigation LPA Jensen determined a reporting deficiency had occurred.

Per California Code of Regulations, Title 22, deficiencies are being cited on the attached

809D during this visit. Exit interview held, Appeal Rights discussed, Copy of report given.