Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Princess Payanga.

During today’s visit, LPA conducted a health and safety check, observed clients in care, reviewed facility records, and interviewed staff. During the visit, it was determined that the facility does not have a working land-line for client use or in case of emergencies. LPA Ruiz attempted to call the facility's listed telephone number and discovered that the phone number had been changed. Interviews revealed that staff use their personal cell phones in case of emergency, but there is no dedicated cell phone or working land line present at the facility at all times for staff or client use, or in case of an emergency.

The following deficiency for accessible telephone is cited per California Code of Regulations and noted on the attached LIC809-D page.

An exit interview was conducted with Caregiver Princess Payanga, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).