Facility Evaluation Report

On 12/20/2023 at 2:30PM Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct a Case Management visit. LPA met with Janet McMiller. Janet phoned the Administrator, Clearnise Bullard to inform. LPA spoke with Clearnise over the phone during the visit. Clearnise advised that Lisa Domingo was authorized to sign documents.

While LPA L. Alexander was conducting a complaint investigation (15-AS-20231215164208) on 12/20/2023. During record review LPA observed C1’s file was missing documents. LPA requested court conservatorship document and discharge notes from the Administrator. The administrator stated that the documents were not accessible because she and the assigned clinician was not available at the facility to retrieve the documents.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

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