Facility Evaluation Report
On August 29, 2024, Licensing Program Analysts (LPA) Edward Kim and Jerome Haley conducted a Case Management visit in regards to observations made while investigating Complaint# 22-AS-20240826143729.
During record review,while reviewing the Physician's Report and Appraisals and Needs Services Plan were incomplete. Signatures were missing on Appraisals and Needs Services Plan and signature and date were missing on the Physician's Report.
A deficiency was cited during the inspection visit according the California Code of Regulations Title 22 Division 6 Chapter 8.
An exit interview was conducted and a copy of this report and the appeal rights were provided to Administrator Gerald Dia. .
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction