Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon conducted a case management deficiencies visit to the facility above. LPA met with Administrator Shannon Mackenzie and explained the purpose of the visit.

LPA printed a Personnel Roster for the facility prior to coming on the complaint visit on 07/25/2023 at 1:15 PM. LPA requested an up to date staff roster with telephone numbers at the facility. Administrator provided an up to date Guardian roster for the facility. Staff 1 (S1) did not appear on either roster and was not associated to work at the facility. LPA requested LPA Olson from the Goleta office to run a current Guardian roster and run a report for S1's Background Clearance. S1 did not have a clearance in the Guardian system for working in Community Care Licensing (CCL) facilities.

S1 has been the Program Director at this facility since March 2021.

Exit interview conducted, deficiency cited, civil penalty assessed, copy of report and appeal rights printed for Administrator.