Complaint Investigation Report

197609117-6-1-2022-29-AS-JAPL-CF8QAB-20220609115936

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

05/31/2022 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20220531142636

Licensee allowed employee to work in the facility prior to obtaining criminal record clearance

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced for an initial 10-day complaint visit. The LPA met with Administrator Vida Gwinn and explained the reason for the visit. During today’s visit, the LPA interviewed staff from 11:15 a.m. - 11:20 a.m. and audited staff records from 11:20 a.m. – 1:00 p.m.

It was alleged that the licensee allowed staff to work at this facility prior to obtaining criminal record clearance. The LPA compared the staffing list to the Department clearance list and identified two employees (Staff #1, Staff #2) had worked in this facility either without a valid criminal record clearance, or the clearance status was set to ‘In Process’. Based on interview and records review, this allegation is deemed Substantiated at this time.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D). Exit interview conducted, today's reports and appeal rights were reviewed and issued.