Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George made an unannounced case management deficiencies visit due to deficiencies observed during LPA's complaint visit conducted on today's date. LPA met with John Calimag, Caregiver and explained the purpose of the visit.

LPA conducted a record review of five (5) staff files, for the staff that were present at the time of LPA's visit. LPA observed for two (2) of the five (5) staff files reviewed to have expired First Aid/CPR cards. Staff # 2 (S2) and First aid/CPR expired on March 26, 2023 and staff #3 (S3) First aid/CPR expired on October 3, 2022. Deficiency cited.

These deficiencies are documented on the attached LIC 809-D and are cited in accordance with the California Code of Regulations, Title 22.

An exit interview was conducted, and a copy of this report, 809D, and appeal rights were provided to John Calimag, Caregiver .