Facility Evaluation Report

While at the facility for a complaint (15-AS-20221007140840) and upon interview and review of document and checking of the Department's Guardian Portal, LPA learned that staff (S1) is not associated to this facility.

Deficiency is cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of correction by plan of correction due date may result inl civil penalty.

Deficiency and plan, and proof of correction were discussed with Genevieve Dace.

Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form, and copy of this report provided.