Facility Evaluation Report
At 09:30am, Licensing Program Analysts (LPAs) Perchui Milena Khurshudyan and Angela Panushkina conducted an unannounced Case Management Visit. The team met with the Administrator Sylvia Jackson and explained the reason for the visit.
The purpose of todays visit is to review all residents and staff files for an accuracy. Team was informed that the facility currently has five (4) residents. Facility also has three (2) staff members, but during today's visit the team observed one staff member (S1) on duty. The team checked the Licensing Information System (LIC) and observed that (S1) is associated with this facility and the fingerprints are cleared.
Resident Files: At 9:40am team conducted resident and staff records review. The following was observed. Four (4) out of four (4) resident facility files had all required documents.
Staff Files: Administrator stated that the facility currently has four (2) staff members. All required documents and trainings are on file.
No deficiencies are issued during today’s visit.
Exit interviewed conducted and copy of this report signed and delivered.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction