Senior Care Records.

Facility Evaluation Report

Avani Home, Covina03/09/2022Licence 198603471

Capacity4
Census4
Date signed03/09/2022 12:54:34 PM
The inspector’s account

On the above date, Licensing Program Analysts (LPAs) Christine Wong, Bennette Pena and Ashley Calderon conducted an unannounced complaint investigation at the above facility. During the complaint investigation, LPA observed three staff (S1-S3) were not associated with the facility. LPA spoke to the administrator and he stated that he thought the association should be automatically transferred from the old license as the facility was licensed on 08/12/2021.

According to the California Code of Regulations (Title 22, Division 6, Chapter 1), LPA observed the following deficiency and issued a citation and assessed the civil penalty.

An exit interview was conducted and a copy of the Facility Evaluation Report and Appeal Rights were provided to Staff Belen Felia.

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