Facility Evaluation Report
On 12/5/2023 starting at 8:45 AM, Associate Governmental Program Analyst (AGPA) L. Francisco arrived unannounced to conduct a Case Management visit as a result of complaint. (CN# 15-AS-20220817112257). AGPA met with Memory Care Director, Laquisha Wong and explained the purpose of the visit. AGPA later met with Executive Director, Kiel Stromgren.
During a visit on September 20, 2022, the Department attempted to review three residents records. However, the records maintained for 3 of 3 staff (S1, S2 and S3) were incomplete. 3 of 3 staff did not have application and contact information on file. In addition, there were no record of termination date and reason for termination for S2. The Department discussed the issue with former Resident Care Director, Sangeeta Devi and an email was sent regarding staff files.
The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction