Facility Evaluation Report

On 10/18/21, Licensing Program Analyst (LPA), Mohamed Filouane, conducted an unannounced case management visit to follow up on documents that had previously been requested and unfulfilled. At approximately 11:50 AM, LPA met with Program Director, Alexandria Archangel and explained the purpose of the visit.

Based on information provided, on 09/23/2021 the Regional Manager (RM) of the Sacramento South Community Care Licensing Division (CCLD) requested documentation showing the name of the acting Chief Executive Officer (CEO) and the names of the Board of Directors. The RM further requested that if the Board does not appoint and provide a CEO, all board members would need a background clearance as the Board would be considered as having operational control. These documents were to be submitted to the Regional Office by the close of business day Monday, September 27, 2021. An extension was granted to provide the requested documents by 10/04/2021. On 10/06/2021 and 10/12/2021, the RM followed up via email as a result of the non-submitted requested documents. The documents requested by the RM were the LIC200 and LIC308 for each facility that is currently licensed, signed by the CEO or acting CEO designated by the Board. In addition, CCLD requested the names and titles of the board members.

As of the date of this visit, CCLD did not receive the requested documents.

The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties.

Exit interview conducted with the Program Director. A copy of the report and Appeal Rights were given.