Senior Care Records.

Facility Evaluation Report

California Mentor - Dominguez Home, Carson01/14/2022Licence 198602255

Capacity3
Census2
Date signed01/14/2022 06:11:59 PM
The inspector’s account

On 01/14/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted a case management health and safety inspection visit at this facility. LPA was greeted by John Hamling Direct Support Provider and explained the purpose of the visit. Claudio Medina is not available at the facility and was given information by telephone.

The Department was made aware the facility failed to adhere to the facility's COVID Mitigation Plan. The facility failed to report to Community Care Licensing Department two (2) staff who tested positive on 01/08/22 and 01/12/22. The facility also failed to quarantine staff for 10 days from the date of their positive test, having the staff return to work on 01/10/22 and 01/14/22. Based on the information gathered, the licensee violated the California Code Regulations (CCR) of Title 22 sections 80061 and 80064 Division 6 Chapter 1.

Deficiencies are issued and an exit interview is conducted with John Hambling.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction