Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette and Kamaldeep Kaur arrived at the facility unannounced to conduct a Case Management for a deficiency that was observed during complaint investigations. LPA's identified themselves and discussed the purpose of the visit with Administrator Ty Scherer.

During the course of the investigation of complaint #24-AS-20240502100522, LPA's Mai Yang and Shawna Doucette interviewed Administrator Katie Blair, staff and residents. Refer to above listed complaint for interviews. During the course of the investigation 24-AS-20240509092937, LPA's conducted interviews and reviewed documents. LPA's found an application for BenefitsCal submitted on 01/16/24 for R1. The application was for food stamps and Medi-Cal. LPA reviewed documents and observed Administrator Katie Blair was listed as the Calfresh authorized representative and Staff Brenda Bravo was listed as the authorized person to pick up emergency food from the United States Department of Agriculture The Emergency Food Assistance Program (TEFAP) for R1 dated April 9, 2024.

Refer to complaint 24-AS-20240509092937 for documentation.

An exit interview was conducted with the Administrator and a copy of this report, plan of corrections and appeal rights were provided.