Facility Evaluation Report

LPA Ramirez conducted case management deficiencies visit on 12/12/23, stemming from initial complaint investigation conducted on 12/12/23. Upon entering facility, LPA Ramirez observed staff#1 (S1) washing dishes in facility kitchen and cleaning up kitchen. LPA Ramirez observed four (4) residents seated living room area and one (1) resident seated at dining room table. During record review, LPA Ramirez discovered S1 does not have criminal record clearance or criminal record exemption. According to staff interviews, S1 has only been in the facility today (12/12/23). LPA Ramirez will issue Civil Penalty Assessment (LIC 421 BG) of $100 for violation and deficiency.

Exit interview was conducted and a copy of this report, 809-D, LIC 421BG and appeals rights was provided.