Facility Evaluation Report
Capacity6
Census6
Date signed02/12/2024 02:36:33 PM
While at the facility for Complaint number 15-AS-20240206134157 LPA J. Clancy-Czuleger observed that R1's file was not at the facility. LPA spoke with Licensee who confirmed that the file was not there and she could email it to the LPA and drop if off at the facility at a later time.
A civil penalty of $250.00 will be assessed on today’s date for repeated violation for section number 80070(a) - Client Records
Exit interview conducted with Licensee, a copy of this report provided along with an LIC421FC, and appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction