Facility Evaluation Report

On 12/12/2023, at 4:05PM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct Proof of Correction (POC) visit. LPA met with Rachel Cadigan, Direct Support Professional (DSP) and explained the purpose of the visit. Rachel phoned Administrator, Angelica Bonuan , to inform. Angelica says that she will be on her way to the facility in approx. 30 mins, but called LPA back to say that she won't be able to make it due to traffic.

Facility has the following deficiencies that were not cleared :

CCR 80066(a)(12)(B) LPA has not received Criminal Record Clearance (LIC 508) for S4 after annual inspection on 11/08/2023 and POC date 12/08/2023.

CCR 80066(a)(10) LPA has not received Health Screening (LIC503) for S4 after annual inspection on 11/08/2023 and POC date 12/08/2023.

Civil Penalties for 80066(a)(12)(B) in the amount of $400.00 assessed immediately for the period of 12/09/2023 - 12/12/2023.

Civil Penalties for 80066(a)(10) in the amount of $400.00 assessed immediately for the period of 12/09/2023 - 12/12/2023.

Civil Penalties in the total amount of $800.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing civil penalties until deficiency is corrected.

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