Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required annual inspection and in conjunction conducted this case management visit at the day program. LPA Lopez identified herself and was granted entry by receptionist Maggie Bravo. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Day Program (DP) Supervisor, Sherry Gutierrez.

During today’s visit, LPA provided the DP Supervisor consultation and provided additional information regarding the Department’s website, Records to be Maintained at the Facility – Adult Residential (LIC 311C), Changes to Administrator Certification Training Requirements (PIN 23-14-CCLD), Criminal Background Clearance Transfer Request (LIC9182) and Criminal Record Exemption Transfer Request (LIC 9188) Form Updates (PIN 23-08-CCLD, Residential Care Facilities for the Elderly Reference Guide to Administrator, Staff, and Volunteer Training Requirements (PIN 23-16-ASC), Revised Infection Control Regulations and Permanent Adoption (PIN 23-12-ASC), and 2023 Chaptered Legislation Affecting Adult and Senior Care Facilities: Summary and Implementation (PIN 23-19-ASC).

No deficiencies were observed or cited during this case management visit. An exit interview was conducted with Day Program Supervisor Sherri Gutierrez and a copy of this report, and Licensee/Appeal Rights (LIC 9058 3/22) were provided to the DP Supervisor at the conclusion of the visit. The signature below confirms the documents were received.