Facility Evaluation Report

On 06/12/2023, Licensing Program Analyst (LPA) Pang Lee arrived at facility unannounced to conduct a case management visit. LPA met with Unaisi Waqlala and explained the purpose of the visit.

The purpose of the visit today, is in response to opening a complaint investigation number #

It was learned that two (2) out of two (2) staff are background cleared, but not associated to the this facility prior to working at this facility. During the facility visit, the Department, asked the Licensee to seek replacement caregivers immediately. It was also learned that the sliding door to go out to the courtyard is not in good repair. LPA Lee observed a care staff having a hard time opening and closing the sliding door.

Licensee stated she will associate all employees by sending criminal record clearance transfer to SACASCTransferRequest@dss.ca.gov

The following deficiencies were observed and cited from the California Code of Regulations, Title 22, and

California Health and Safety Code and documented on LIC 809-D. Immediate Civil Penalty were assessed.

An exit interview was conducted, and a copy of this LIC 809, LIC 809-D report and appeal rights were given to the Licensee/Administrator Unaisi Waqlala