Senior Care Records.

Facility Evaluation Report

Kheesa's Family Home, Fontana08/31/2023Licence 366410632

Capacity6
Census4
Date signed08/31/2023 10:19:37 AM
The inspector’s account

Licensing Program Analyst (LPA) Ryan Gardner conducted an unannounced case management visit during complaint visit, control number 56-AS-20230622160531. LPA met with Facility Manager Laporsha Grant and explained the reason for the visit.

During today visit, LPA discovered that Staff S1 does not have an approved criminal background clearance to work at the facility. S1 informed LPA that they have been working at the facility for three (3) years.

Based on observations today, one (1) type A deficiency was cited per Title 22, Division 6, of the California Code of Regulations, along with a $500-dollar civil penalty.

An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Manager Laporsha Grant, along with a copy of LIC809D, LIC811, LIC421BG, and the appeal rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction