Facility Evaluation Report

On 9/29/22 at approximately 10am Licensing Program Analyst (LPA) Maja Jensen arrived at 1215 W Swain Road in Stockton, unannounced, to conduct a case management for deficiencies relating to an expired Administrator's certificate. LPA Jensen met with assistant administrator Craig Vincelet and explained the purpose of today's visit.

The Administrator for the facility is currently listed as Leah Zubiate. The Administrator's Certificate for Leah Zubiate has expired. The Community Care Licensing Division Administrator Certification Section confirmed that an Administrator's Certificate renewal request was sent by Leah Zubiate on 1/8/21. On 3/29/21 the Community Care Licensing Division Administrator Certification Section sent notification of incomplete documentation for the renewal. The application was withdrawn due to a lack of response. On 7/12/22 LPA Jensen sent Administrator Leah Zubiate the phone number and email for the Department's Administrator Certification division so she could address the expired certification. The Community Care Licensing Department has not received any notification of a change in Administrators to date.

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

An exit interview was conducted and a copy of this report and appeal rights were given.