Facility Evaluation Report

Willow Glen Residence, Bay Point11/09/2022Licence 075600012

Capacity5
Census1
Date signed11/09/2022 12:08:47 PM
The inspector’s account

On 11/09/2022 at 10:55AM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Licensee, Levi Villareal and explain the purpose of the visit.

LPA visited the facility on 8/3/2022 and observed that the facility did not have a qualified Administrator employed. LPA cited and assessed ongoing civil penalties under section 87405(a) Administrator – Qualifications and Duties. Licensee was given a plan of correction date. Licensee telephone LPA on 9/19/2022 to request an extension for the plan of correction which LPA granted until 10/17/2022. LPA conducted another visit on 10/19/2022 and gave a new POC date of 10/26/2022. On today’s date Licensee have not hired an Administrator or have not recertified as the Administrator.

A civil penalty of $1400.00 will be assessed on today’s date from 10/27/2022 to 11/09/2022. Facility is subject to ongoing civil penalties of $100.00 per day until the deficiency is corrected.

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

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction