Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced Case Management visit for the purpose of obtaining staff timesheets from January 2021 to June 2024. LPA was greeted and granted entry by Licensee Olivia Hidayat. Assistant Administrator (AAD) Ricky Vu arrived at 8:55 a.m.

Staff timesheets from January 2021 to June 2024 were not available for review during Case Management visit on April 3, 2025. LPA placed a call to Licensee and left a voicemail requesting timesheets be provided via email by Close of Business on April 7, 2025. As of May 1, 2025, the timesheets from January 2021 to June 2024 have not been received; a Deficiency is being cited today.

On February 28, 2025, April 02, 2025, and April 08, 2025, auditor requested Licensee to provide the requested documentation to conduct a Solvency Audit. As of today's date, the Licensee has not provided any requested documentation. A Deficiency is being cited today, and a civil penalties being assessed due to repeated violation.

During today's visit, Licensee was unable to provide LPA with staff timesheets from January 2021 to June 2024 and stated they were not sure of their exact whereabouts. Licensee stated timesheets would be located and a copy provided to LPA via email.

Based on observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations and civil penalties being assessed, see LIC421FC. An exit interview was conducted and a copy of this report and appeal rights was provided at the end of the inspection.