Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho made an unannounced Case Management visit for the purpose of issuing a deficiency. LPA met with Administrator Corazon Lopez and explained the reason for the visit. It was discovered during the investigation of Complaint Control No: 22-AS-20210902153234, that Staff #1 (S1) was not associated to the facility. Per review of the Department's Guardian Background Check System, Staff #1 (S1) was not associated to the facility during their employment per review of the active and separated rosters.

A deficiency is being issued and an Immediate Civil Penalty (ICP) is being assessed.

An exit interview was conducted with Administrator Corazon Lopez, and copy of this report including the Confidential Names (LIC811), LIC421BG, and the appeal rights were provided via email at exit.