Facility Evaluation Report

On October 19, 2023 Licensing Program Analysts (LPA) Murial Han conducted an unannounced visit to deliver the findings in reference to complaint # 14-AS-20230901133006 and during the visit, LPA made the following observation. LPA met with assistant administrator and explained the purpose of the visit.

During today's visit, LPA requested to reviewed staff #1 (S1) and staff #2 (S2) and assistant administrator's personnel files.

According to the assistant administrator and the administrator, both S1 and S2 have been working at the facility since September 1, 2023 and the facility does have their files as the facility is in the process of getting their files together. In addition, S1 is not associated with the facility and not fingerprint cleared.

This violation results in a civil penalty of $100 per day x 5 day = $500

Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC809-D. Failure to correct the deficiencies may result in additional civil penalties.

Report is reviewed with assistant administrator and a copy is provided with civil penalties and appeal rights.