Facility Evaluation Report
On 7/15/2025 at 12:05pm, Licensing Program Analyst (LPA) L. Hall and conducted an unannounced Case Management visit. LPA met with Erma "Julie" Dual, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Mary Asilum, via telephone.
Upon arrival LPA observed S3 was not listed on guardian. LPA spoke with S3 and was told S3 has been employed for three (3) days. LPA verified that S3 was fingerprint cleared. LPA spoke with Administrator and was told that all paperwork for S3 has been received, but is not at the facility.
*An immediate civil penalty of $300.00 will be assessed on today's date for association (87355(e)).
Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction