Facility Evaluation Report

****This document is amended only to correct a spelling of a name and an erroneous date given for a Plan of Correction. The new Plan of Correction due date allows for the same amount of time to complete the Plan of Correction.*****

On 11/18/22 at 10:40 am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a case management for deficiencies. LPA Jensen met with Craig Vincelet and explained the purpose of today's visit.

The Administrator's certificate for Leah Zubiate expired in the year 2021. On 9/29/22 LPA Jensen cited the facility for not having an Administrator with a current Administrator's certificate and the Licensee agreed to a Plan of Correction with a due date of 10/03/22. The Licensee submitted documentation and Leah Zubiate, the Administrator of record who's certification has expired, was advised by LPA Jensen that the documentation is incomplete and/or incorrect on 10/20/22. LPA Jensen advised Leah Zubiate again on 11/1/22 that the documentation requested is incomplete and/or incorrect and past due. LPA Jensen advised Leah Zubiate again on 11/4/22 that the documentation is incomplete and/or incorrect.

Deficiencies are being cited from the California Code of Regulations, Title 22, Division 6. Civil Penalties are being assessed.

An exit interview was conducted and a copy of this report and appeal rights was given to Craig Vincelet