Facility Evaluation Report

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced case management visit. LPA was granted entry into the facility by Sanjay Kabadi Executive Director with whom she disclosed the purpose of the visit.

The case management visit is related to the complaint control number 08-AS-20240909102606 .

During a complaint investigation, the LPA discovered the facility Executive Director, who is a mandated reporter, had knowledge of an incident that requiring reporting to the local ombudsman, the Department, and local law enforcement. Based on interviews, and records reviewed, it was determined the facility did not meet the required reporting requirements. Per California Code of Regulations, Title 22, LIC9102 Technical violation. A Plan of Correction was jointly formulated with the facility administrator.

An exit interview was conducted with Executive Director, to whom a copy of the report and Licensee/Appeal Rights (LIC 9058 03/22) were provided to.