Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 10/25/23 at 8:45am and met with Averey Mata, Caregiver and Lionel Nunez, Administrator stating the purpose of the visit.

This visit is to cite deficiencies as noted during a Title 17 Monitoring Review. LPA was made aware that the staff had not completed the required training for Direct Support Professional (DSP). The training for staff #1 (S1) had a 12 month window but staff finished 1 month later outside of that window.

LPA observed documentation that the facility has complied with the correction plan by the stated deadlines of 10/11/23 and 10/20/23.

Based on LPAs observations and interview with Administrator the preponderance of evidence standards has been met.

Per California Code of Regulations, Title 22 Division 6, Chapter 6, deficiencies are being cited during this visit.

If any deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Administrator was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

Exit interview held, Appeal Rights discussed, Copy of report given.