Facility Evaluation Report

On 2/20/25, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced plan of correction (POC) visit to this facility. Upon arriving at the facility, LPA met with Kari Bergerson, Director of Clinical Operations, and Rica Distor, Program Manager, who assisted with the visit. LPA informed staff that the purpose of today’s visit is to clear the plan of correction that was issued on 1/30/25 for complaint 11-AS-20241126095446. The department did not receive the POC by the due date of 2/10/25.

The following citation was issued on 1/30/25 during a complaint visit conducted at this facility:

81068.5(a)(5)(A) Eviction Procedures (a) The licensee shall be permitted to evict a client with 30 days' written notice for any of the following reasons: (5) Inability to meet the client's needs. (A) A Needs and Services Plan modification has must have been performed, as specified in Section 81068.3, which determined that the client's needs cannot be met by the facility and the client has been given an opportunity to relocate as specified in Section 81068.3(f)(3).

Staff gave the department proof that the POC was sent, however it was sent to the wrong email address. The department accepted the document that was sent on 2/3/25 because the letters in the email were transposed. The deficiency was cleared at the time of today’s visit.

An exit interview was conducted and a copy of this report and appeal rights were given to Kari Bergerson, Director of Clinical Operations.