Facility Evaluation Report

Licensing Program Analyst (LPA) Valeria Maldonado made an unannounced visit to the facility for the purpose of citing deficiencies. LPA Maldonado met with licensee Adelina Esguerra and explained the purpose of the visit.

During the visit, LPA Maldonado requested to review client files for Clients #1-6 (C1-C6) and staff files for Staff# 1-4 (S1-S4). LPA Maldonado observed files for C1, C2, and C5 to be missing required documents, and C6 did not have a file present at the facility during the time of the visit. LPA also observed files for S2-S3 to be empty, missing the required documents, and S4 did not have a file present at the facility, nor was S4 associated to the facility.

Per California Code of Regulations, Title 22, deficiencies were observed during today's visit and will be cited on the LIC809D reports.

An exit interview was conducted with licensee Adelina Esguerra and a copy of this report and appeal rights were discussed and provided.