Facility Evaluation Report

On 10/18/2021 Licensing Program Analyst (LPA), Jason Lund conducted an unannounced case management visit to follow up on documents that had previously been requested and unfulfilled. At approximately 2:15 PM, LPA Lund met with Director, Peggy Phelps and discussed the purpose of the visit.

Based on information provided, on 09/23/2021 the Regional Manager (RM) requested documentation showing the name of the acting 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 will need a background clearance as the Board is considered as having operational control. These documents were to be submitted to the RO by COB 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 requested documents not being provided. Documents to be provided are the LIC 200 and LIC 308 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 board members. If the board does not appoint and provide a CEO, all board members will need a background check as the Board is considered as having operational control. To date, CCLD has not received the requested documents.

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

Exit interview conducted with Director Peggy Phelps. A copy of report and Appeal Rights given