Facility Evaluation Report

Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to conduct a case management visit. LPAs met with Administrator, Aileen Fermo, and explained the purpose of the visit.

LPAs and Administrator discussed the importance of reporting requirement with the Department. LPAs explained the Department has not received LIC 624A Death Report for R1. LPAs explained it is Licensee's responsibility to provide a written report within seven (7) days of the occurrence.

Administrator stated Alta California Regional Center (ACRC) representative provided the requested documents. LPA Yang stated she was unable to confirm the following as LPA Yang attempted contact with ACRC on 10/2/2023 and 10/4/2023 but was unsuccessful. Additionally, LPA Yang did not receive any documents via email as requested.

As a result of today's visit, deficiencies was cited. Please see LIC 809-D.

Exit interview concluded, a copy of the report and appeal rights was provided.