Facility Evaluation Report

Licensing Program Analyst (LPA) Ryan Gardner conducted an unannounced case management visit during complaint visit, control number 56-AS-20230124092533. LPA met with Facility Manager Ahmed Qasim and explained the reason for the visit. At the time of the visit, there were seven (7) clients, and two (2) staff present.

During today visit, LPA toured the facility and interviewed clients and staff. During interviews conducted and facility tour, LPA discovered that the facility has seven (7) beds and is providing care to seven (7) clients. LPA explained to Qasim that this is a violation of the approved fire clearance and poses an immediate risk to the clients in care. Qasim stated that they were aware that they were not allowed to have seven (7) clients living at the facility. The facility was issued a deficiency and a civil penalty for violating the fire clearance on 5/10/2022.

Based on observations today, one (1) type A deficiency was cited per Title 22, Division 6, of the California Code of Regulations. Along with a $1000-dollar immediate civil penalty for repeating the violation of the facilities fire clearance.

An exit interview was conducted, and this report(LIC809) was discussed and provided to Facility Manager Ahmed Qasim, along with a copy of LIC809D, LIC421IM, and the appeal rights.