Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility for a complaint. During the complaint visit, LPA Rico completed a case management visit to cite for two (2) deficiencies and one (1) civil penalty found during facility tour and record review.

During facility tour, LPA observed R1 and R2 sliding door for their closet not working.

During staff interview and record review. S1 confirmed to LPA they have been working since August 2023. During record review LPA confirmed S1 has a criminal record clearance but is not associated to the facility. LPA Rico informed Administrator that S1 must be associated to the facility.

During today’s visit, two (2) deficiency and one (1) Civil penalty was assessed with the amount of $500.00 for failure to associate/transfer S1 Criminal Record Clearance to the facility were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted where this report, LIC809, LIC809D, LIC421BG and Appeal Rights were discussed and provided to Care Giver Eula Jones.