Facility Evaluation Report
On 2/15/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Proof of Correction (POC) visit. LPA met with caregiver, Princess Allen, who notified Supervisor, Samantha Shaw Camacho, who arrived to the facility shortly afterwards.
Today's visit, LPA conducted a file review of two personnel and two staff files. Additionally, LPA conducted an inspection of the kitchen area to ensure there is a secured storage space for sharps.
- §1569.17 Fingerprints and criminal records of individuals in contact with clients; exemptions; criminal records clearances
- 1569.618 Administration and management of residential care facilities; substituted qualifications; employee scheduling
LPA informed Supervisor a copy of POC clearance will be mailed to facility.
LPA and Supervisor discussed Licensee submitting LIC 200 and facility sketch to request fire clearance of six non-ambulatory residents.
No deficiencies cited. Exit interview conducted and a copy of the report will be emailed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction