Facility Evaluation Report
On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted a case management visit in parallel to the initial complaint investigation visit for complaint reference 22-AS-20230309101851. LPA was greeted and granted entry by caregiving staff after stating the purpose of the visit. Administrator was notified of the visit by phone and arrived to assist shortly afterwards.
While reviewing the facility's records, LPA observed that staff member S1 was background cleared as well as associated to COASTAL SENIOR LIVING - 306005619 and COASTAL HOME CARE - 306004788 which are operated by the same licensee. However no staff association with the present facility were found.
LPA provided consultation to advise licensee to provide a completed form LIC508 and related documentation to the Department at the earliest convenience to proceed to the necessary association.
A Technical Assistance Advisory Note was issued. No deficiency cited at this time.
An exit interview was conducted and a copy of the report was provided to the facility representative.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction