Facility Evaluation Report
On 12/31/2024 at 8:51am, LPA Zina Brown conducted an unannounced continuation annual visit. LPA met with Jovonne Kiflezghie, Administrator and the purpose of today’s visit was explained.
LPA conducted a records review of (4) client records, (4) staff records, and (4) clients Personal & Incidental Records. Some of clients & staff records were incomplete. LPA observed the following not in compliance:
Physicians Report and TB Test for Client #3 and Client #4
Physicians Report for Staff #4 (Administrator)
Appraisal & Needs Service Plan for Client #3
Deficiencies Cited Under California Code of Regulations Title 22, Division 6, Chapter 1.
Exit interview conducted with Jovonne Kiflezghie, Administrator and a copy of the appeal rights were given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction