Facility Evaluation Report

This unannounced Case Management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 22-AS-20241021164029. LPA met with Administrator (AD) George Aliimatafitafi and explained the reason for today’s inspection.

During the course of the investigation, LPA inspected the facility, interviewed AD, Program Manager (PM) Pua Tata, clients, and staff, and obtained and reviewed copies of the client roster, staff roster, an email dated October 23, 2024, regarding AD’s purchasing card, the facility’s menus for the past year, the facility’s monthly budget, and the facility’s grocery bills for 2024.

LPA interviewed two clients and four staff and obtained information that the facility recently ran out of specific food items, such as cereal and tortillas, and that the menu was not followed due to lack of specific ingredients. LPA interviewed AD and PM who denied this, but stated that due to recent staffing changes, the process for purchasing groceries changed for approximately the last two months because AD did not have a purchasing card to purchase groceries, but the issue has now been resolved. LPA reviewed an email dated October 23, 2024, regarding AD’s purchasing card which corroborated that the issue with AD’s purchasing card has now been resolved. LPA reviewed the facility’s menus for the past year which did not document any of the changes to the menu that were made due to a lack of ingredients.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.