Facility Evaluation Report
On 12/2/2021, Licensing Program Analyst (LPA) Murial Han conducted an announced follow-up visit from the Annual Inspection. LPA Han was properly screen at the front entry. LPA met with the Clinical Director, Molly Herzig and explained the purpose of today's visit.
On 9/22/2021, during an on-site visit, LPA Han was informed by one of the directors that the facility has a new Administrator. LPA Han explained the process of change of Administrator and the required documents.
On 11/16/2021, during the Annual Inspection, there was no documents available for LPA Han to review and to verity of the new Administrator, therefore, during the exit meeting, LPA Han reminded the facility's directors that the Department has not received the requested documents and the documents shall be submitted by 11/19/2021.
Furthermore, on the same day at 4:30PM, LPA Han provided the facility in writing a list of the documents that is needed to change the Administrator and links to the Regulations for additional resources.
On 11/17/2021, Licensing Program Manager (LPM), Julio Montes reminded the facility in writing to submit the required documents and LPM Montes included a list of the documents that is required to proceed with change of Administrator.
On 11/23/2021, LPA reminded the Directors of the facility that the Department has not received any of the requested documents.
Based on observations and interviews, the facility failed to provide required documents to the Department for the verification of the Administrator-Qualifications and Duties. Deficiency of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Clinical Director, and Appeal Rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction