Facility Evaluation Report
Licensing Program Analyst (LPA) Jessica Cho continued the visit after continuing the investigation into Complaint Control Number: 22-AS-20231221160503. LPA stated the purpose of the visit to Care Staff (CS) Eppieabien Mendoza. LPA observed Staff #1 (S1) was not associated per the Guardian Employee Roster dated March 14, 2024 at 8:28am as required per the Criminal Record Clearance of the Title 22 Regulations. S1 was employed effective January 29, 2024.
A deficiency is being cited as per the Title 22, Division 6, Chapter 1 of the California Code of Regulations. See the attached LIC809-D. An immediate civil penalty is being assessed. See the attached LIC421BG.
Administrator Louise Igisaiar consented by telephone at 9:15am to sign the report on her behalf.
An exit interview was conducted with Care Staff Eppieabien Mendoza, and a copy of this report including the LIC809D, LIC421BG, LIC811, and the appeal rights were provided at the end of the visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction