Senior Care Records.

Facility Evaluation Report

Paradigm San Francisco Young Adult, San Rafael05/12/2023Licence 216804051

Capacity6
Census2
Date signed05/12/2023 04:57:38 PM
The inspector’s account

At approximately 12:50PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct an Annual Continuation Visit and met with Program Director, Jordyn Bonanni. Administrator, Melissa Guyot, was available by telephone.

During visit, LPA discovered that Staff Member 1 (S1) was not fingerprint cleared or associated to the facility

( This deficiency has been cited, see Regulation 81019(e)). LPA also discovered that Staff Member 2 (S2) and Staff Member 3 (S3) were fingerprint cleared, but not associated to the facility as required. LPA contacted the Regional Office and confirmed the fingerprint clearance and association statuses of S1, S2, and S3 to the facility. S1 was informed of their status and they immediately left the premises. Facility confirmed that S1, S2, and S3 were not associated to the facility and sent the association paperwork to the Regional Office today, 05/12/2023. LPA confirmed with the Regional Office that the paperwork had been received. Administrator understands that S1 cannot be on the premises of the facility until they have been properly fingerprint cleared and associated to the facility as required.

LPA conducted interviews and a walk through of the facility.

LPA requested the following documents to update facility file:

Designation of Facility Responsibility (LIC 308)

Documents to update facility file to be submitted to Community Care Licensing (CCL) by due date of Monday, 06/12/2023.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction