Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation visit due to deficiency observed at the time of the visit. LPA met with Adrine Adamian caregiver and explained the reason for the visit.

On 12/5/23 LPA Flores was allowed entry to the facility by staff #1(S1), who was providing care and supervision to the residents in care. S1 stated to be working at the facility since 12/2/23. LPA Flores noticed S1 is not associated to the facility. Administrator stated that fingerprint for background clearance had been submitted to the department. LPA contacted the department to check if S1 has a background check and S1 was not found in the system.

Deficiencies are noted on LIC 809D per Title 22 Regulations and Immediate Civil Penalties in the amount of $400.00 are being issued at this time.

Exit interview was conducted with Adrine Adamian and a copy of this report was provided.