Facility Evaluation Report

On 8/17/2022 at 1:00PM Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an email received on 08/10/2022. LPA met with Delores Garibay, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Robert Jo via telephone. Administrator advised staff Christopher Jo will come to facility. Christopher Jo arrived at 1:55PM.

The email contained an updated sketch of the facility showing that a room was built in the garage for staff to have more privacy and to relax. The Administrator did not notify the Department of the alteration prior to the change or obtain a permit.

While conducting the case management LPA L. Hall observed staff S3 was not associated to facility. S2 stated that S3 was training and this was her first day.

An immediate civil penalty of $100.00 was assessed.

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