Senior Care Records.

Facility Evaluation Report

Giana's Home #1, Claremont10/31/2022Licence 198602633

Capacity6
Census5
Date signed10/31/2022 12:54:48 PM
The inspector’s account

Licensing Program Analyst (LPA) Galarza made an unannounced visit to investigate complaint control #: 28-AS-20221026164421. LPA discussed the purpose of the visit with Caregiver staff Brian Tria. Licensee/Administrator Francis Mejia was explained the purpose of the visit telephonically.

A physical plant tour of the facility was completed. The following observations were made:

The Office room was converted to a live-in staff room. Two (2) bunk beds were observed.

An additional live-in staff room was constructed inside the garage without obtaining a city permit or notifying Community Care Licensing. One (1) bed and staff personal belongings were observed.

The LIC 500 Personnel Report and resident roster are not updated. Licensee agreed to update the resident roster and LIC 500 Personnel Report.

Licensee/Administrator was instructed to obtain a city permit for the building alteration in the garage. In addition, an updated Plan of Operation and facility sketch shall be submitted to Community Care Licensing.

Exit interview was held with caregiver staff Brian Tria. A copy of this report and appeal rights were provided.

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