Facility Evaluation Report

On November 8, 2023 Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to conduct a case management visit regarding a plan of correction the Department did not receive. LPA met with Caregiver, Carlo Mariano, who informed LPA Administrator is not at the facility. Caregiver contacted Administrator who LPA spoke with on the phone. LPA informed Administrator the purpose of the visit.

LPA discussed the LIC 809-D that was cited on 10/11/2023 with due date 10/27/2023 was not received. Administrator informed LPA it was submitted via fax although LIC 809-D stated to submit the documents via email to LPA. Administrator informed LPA she will resend the LIC 503's to LPA Yang via email as soon as possible as Administrator is not at the facility right now.

LPA informed Administrator to do so at earliest convenience and failure to do so may result to civil penalty as failure to correct.

Exit interview conducted and a copy of the report was left at the facility.