Facility Evaluation Report
Licensing Program Analyst (LPA) Jesse Gardner arrived at the facility unannounced to follow-up on facility staff's criminal background clearance.
During a review of the staff roster, LPA observed Staff One (S1) did not have a Criminal Record Clearance. Mr. Ntekim confirmed staff has been present and working in the facility providing care and supervision to residents since 7/14/2021. Based upon this information, and in compliance with Title 22 regulation, a Type A citation is being issued along with a $500 civil penalty assessment.
In addition, during a visit conducted on 3/8/22, a citation was issued regarding staff (S2) being present in the facility without a criminal record clearance. A civil penalty assessment should have been issued along with the citation; however, it was not. Therefore the $500 assessment is being issued at this time.
An exit interview was conducted and a copy of this report was discussed with and provided to Mr. Ntekim along with copies of the LIC809-D, LIC811, LIC421BG, and Appeal Rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction