Facility Evaluation Report

On February 8, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case-management visit in relation to complaint control #: 14-AS-20240112093523. LPA met with Caregiver, Carmelita De Castro and explained the purpose of the visit.

During the complaint visit, LPA discovered that there were no personnel files present in the facility to provide to LPA for review. In addition, during file review, LPA discovered Client 1's (R1's) file did not have an individualized service plan.

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

Report is reviewed with the Caregiver and a copy is provided.