Facility Evaluation Report

On 6/24/2022 at 12:25 PM, Licensing Program Analyst (LPA) L. Francisco arrived unannounced to conduct a Case Management visit. Upon arrival, LPA was greeted by Care Staff, Irene Joseph. Administrator, Meeran Saxena later arrived at 12:40 PM

The Department conducted interviews and record during the course of investigation for complaint (#15-AS-20211222084738), the following deficiency was observed. Based on record review, S1 is not fingerprint cleared. S1 stated S1 has been living and employed with the facility since 11/05/2022. According to S2, S1 was employed on 11/15/2021. Although dates of employment are conflicting, record review shows that S1 is not cleared and The Department observed S1 working at the facility on 12/21/2021.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties.

Administrator authorized Care Staff, Irene Joseph to sign report.

Exit interview conducted with Care Staff. A copy of this report and appeal rights provided.