Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced case management visit at this facility to issue deficiency in conjunction with complaint control # 28-AS-20230210144317, wherein during the course of investigation regarding this complaint, LPA observed the following:

In October 2022, Staff #2 (S2) was assigned to be a temporary Administrator for this facility.

As of February 2023, S2 was officially assigned to be the Administrator for this facility.

LPA was informed that all paperwork was already submitted/mailed to Woodland Hills Regional Office.

LPA spoke with S2 at 1:36pm and requested all documents to be emailed. At 2:27pm, LPA contacted S2 to follow up regarding the documents.

S2 informed LPA that all documents will be requested through this facility company's Human Resources.

LPA reviewed S2’s facility file at 2:35pm and it was incomplete.

During the interview with S1, S2 and S3 LPA was informed that the facility had numerous Administrators from the year of 2000 to present. In addition, the last Administrator on file has not been working for this facility since 2000.

Thus, the facility failed to update and inform the Regional Office of new Administrator (change) and or Designee.

Citation issued on LIC809-D and appeal rights discussed.

Exit interview conducted. Copy of this report issued