Senior Care Records.

Facility Evaluation Report

Krystal Adult Residental Care Home, Anaheim04/23/2024Licence 306004294

Capacity6
Census6
Date signed04/23/2024 03:58:08 PM
The inspector’s account

Licensing Program Analysts (LPAs) Jessica Cho and Edward Kim continued the visit after continuing the investigation into Complaint Control Number : 22-AS-20240418171209 . LPAs stated the purpose of the visit to Licensee/Administrator Jon Castro. LPAs observed Staff #1 (S1) was not associated per the Licensing Information System (LIS) dated April 22, 2024 and the Guardian Employee Roster dated April 23, 2024 at 2:12pm as required per the Criminal Record Clearance of the Title 22 Regulations. S1 stated that he was employed in 1993. S1 was associated during the visit.

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.

An exit interview was conducted with Licensee/Administrator Jon Castro, 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