Facility Evaluation Report

Epsilon Residential Home, Moreno Valley08/09/2023Licence 336408324

Capacity5
Census2
Date signed08/09/2023 03:39:37 PM
The inspector’s account

Licensing Program Analyst (LPA), Jesse Gardner, conducted an unannounced visit to the facility to initiate an investigation, refer to (18-AS-20230808095604). LPA met with Staff Armando Aguilar (S1), explained the purpose of the visit, and conducted a tour of the facility.

Upon review of records, LPA found that S1 did not have a background clearance.

Concluding interviews with staff, and clients, an immediate Civil Penalty of $100/day will apply for a total of 2 days at $200 as interview with Licensee verifed S1 has spent time supervising clients inside the facility the past two days (8/8/23, and 8/9/23). The following violation is cited under Title 22 Division 6 Chapter 1 section 80019(e)(1). LPA observed S1 leave the facility.

An exit interview was conducted and a copy of this report was discussed with and provided along with with copies of the LIC809D, LIC421BG, and Appeal Rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction