Facility Evaluation Report
On 03/06/2024 at 12:45 PM, Licensing Program Analysts (LPAs) Melody Brown and Paola Guerrero, met with Staff Jonathan Israel Guzman Pineda to initiate Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.
LPAs Brown and GUerrero observed no Administrator present at the facility. S5 reported to LPAs Brown and GUerrero that the facility's Administrator's in Mexico for a family emergency. Deficiency will be issued.
Per records review, the facility were cited for the same regulations within 12-month period and this would be the fouth (4th) offense for HSC 1569.618(a) and CCR 87355(e)(1), an immediate civil penalty will be issued today, 03/06/2024 with the amount of $1000.00 for third offense repeat violation within 12-month period for not having administrator present at the facility during working hours and $1000.00 for staff working at the facility without criminal background clearance, third offense.
An exit interview was conducted where this report, LIC809, LIC809D, LIC421IM and Appeal Rights were discussed and provided to staff Jonathan Israel Guzman Pineda.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction