Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct a case management visit. LPA met with Administrator Jennifer Devore. LPA explained the reason for the visit. During the investigation into complaint 22-AS-20230103094625, it was discovered that Staff 1 (S1) is not background cleared. S1 was working at the facility when the LPA arrived. A review of records showed S1 is not background cleared. LPA informed the Administrator that S1 cannot be present at the facility until they are background cleared and properly associated to the facility. Administrator stated she understood. LPA witnessed S1 leave the facility. Based on the observations made during today's visit, a deficiency is being sited per Title 22 Division 6 Chapter 2 of the California Code of Regulations. An immediate CIVIL PENALTY (LIC421BG) is assessed.

An exit interview was conducted with the Administrator and a copy of this report was provided along with the appeal rights.