Facility Evaluation Report
On March 18, 2025, at 9:50 AM, Licensing Program Analyst (LPA) Edward Kim conducted a case management- deficiency visit unrelated to a complaint investigation (Complaint# 22-AS-20250305152012).
On March 10, 2025, during a complaint visit, LPA observed the following deficiencies:
1. S3 is working in the facility without background clearance.
2. Two individuals who were identified as friends of S3 slept in the facility from March 7, 2025, through March 10, 202,5 without background clearance.
3. The facility is not maintaining records for all residents.
4. The facility is not maintaining records for all staff.
Deficiencies were cited during the inspection visit according the California Code of Regulations Title 22 Division 6 Chapter 8. A civil penalty was assessed at this visit.
An exit interview was conducted, and a copy of this report and the appeal rights were provided to Administrator Minh Pham.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction