Facility Evaluation Report

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit and concurrently conducted a case management visit to the facility and provided Technical Advisory’s (TA). LPA Lopez identified herself and was granted entry by Valerie Jenkins, Licensee. LPA stated the purpose of the visit and reviewed the basic elements of the visit with Licensee Jenkins. House Manager Christiana Jenkins DeLeon later arrived and joined the visit.

During the visit, LPA toured the facility, requested and obtained records. During the tour, LPA observed ceiling fan needed to be cleaned in the kitchen area. LPA reviewed Title 22, Division 6, Chapter 1, Article 07, Section 80087 Buildings and Grounds, with Licensee Jenkins, and House Manager DeLeon. Additionally, during the file reviews of client records LPA observed records were incorrect for four out of four clients in care. LPA reviewed Title 22, Division 6, Chapter 1, Article 6, Section 80070 Client Records, with Licensee Jenkins and House Manager DeLeon. Technical Advisory notices were given during today’s visit.

An exit interview was conducted with Administrator Jenkins and House Manager DeLeon. A copy of this report, and Applicant/Licensee Rights (LIC 9058 03/22) were provided to Licensee at the conclusion of the visit. The signature below confirms the documents were received.