Facility Evaluation Report

Licensing Program Analysts (LPAs) Claudia Gutierrez and Dwayne Mason made an unannounced case management visit to the facility for the purpose of issuing deficiencies. LPAs met with Staff Avolie Rhaburn and discussed the purpose of this visit.

During the required annual inspection conducted on 3/29/23, LPA Gutierrez and LPA Mason observed an addition had been made onto the house, closing off an exit indicated on the facility sketch. Administrator (AD) Jamie Lee stated the facility did not obtain a new fire clearance to close off that exit, therefore the facility was found to be operating outside of its fire clearance and was cited under California Code of Regulations (CCR) 80020(a). The plan of correction was for AD to submit an LIC200 and new facility sketch to Community Care Licensing (CCL) to request for a new fire inspection by 3/28/23. As of 5/12/23, CCL has not received required documents. During today’s visit, AD was contacted by phone and confirmed no documentation has been submitted to CCL to obtain a new fire clearance. A new deficiency is being cited per Title 22 Division 6 of the CCR.

LPAs conducted an exit interview and a copy of this report was left at the facility.