Facility Evaluation Report
***Due to system error; this report is a recreation of case management report visit date: 06/03/22. Signature is on original report hardcopy that's on file. Licensing Program Analyst (LPA) Jey Cardenas conducted a case management visit to the above facility during a complaint investigation control number 11-AS-20220526104318. LPA met with Staff#1 who was not associated to the facility. LPA Conducted a Covid-19 risk assessment.
On today 6/3/22 LPA Cardenas is assessing a civil penalty for not being associated. Staff works at skilled nursing center area and is assisting the assisted living facility. Staff indicates she has been working and assisting the AL for about a year.
Exit interview conducted, a copy of this report provided to staff, deficiency entered on LIC809D report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction