Facility Evaluation Report

On 9/19/25 Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Activities Director Gabriela Ortiz.

While conducting file review of staff records, LPA noted that four (4) current staff members were not associated to the facility. Further review revealed that the three (3) of those staff members had eligible background clearances with previously conducted background checks, however their clearances were not transferred over to this facility. The remaining staff member was a new employee and had undergone a background check, however, the California Department of Social Services (CDSS) had not yet fully cleared the individual for an eligible determination. Therefore, the individual had been working at the facility without an approved background clearance, resulting in a Type A violation.

Two Type A Deficiencies cited during the visit per California Code of Regulations, Title 22, Division 6 on the attached LIC 809-D. In addition, a Civil Penalty for each of the two Type A violations are being assessed for Zero Tolerance Violations regarding Criminal Record Clearances and are noted on the two (2) attached LIC 421BG forms in the combined amount of $1,900.00

Two deficiencies were cited during the visit. An exit interview was conducted with Activities Director Ortiz to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.