Facility Evaluation Report

At 9:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted unannounced visit to this facility in conjunction with a complaint, control #31-AS-20250921123305. LPA met with Staff #1 (S1), Sandugash Shaldanbayeva, who granted access to the facility. The Administrator arrived shortly after and LPA explained the reason for the visit.

B oth side doors/gates have padlock and require a key to open.

During the visit, LPA also conducted review of all incident reports on a system and did not observe an Incident Report submitted to the Community Care Licensing Department (CCLD) in a timely manner. In addition, the Administrator admitted that no incident was submitted to the Regional Office (RO). Based on Title 22 Regulation: a written Unusual Incident / Injury Report shall be submitted to CCLD within seven (7) days of occurrence. LPAs informed the Administrator that all staff members are mandated reporters, and they are all responsible for reporting.

LPA informed the Administrator to submit an incident report that occurred on:

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are cited and noted on LIC 809D.