Facility Evaluation Report

Licensing Program Analyst (LPA) Melisa Rankin conducted an unannounced plan of correction (POC) case management visit to the facility above. The reason for this visit was to conduct a follow-up in reference to deficiencies that were cited during a case management visit that occurred on 04/17/2025. The LPA met with facility staff member Alexandria Neal, Team Lead Unlicensed at 10:40 AM and explained the purpose of the visit. Team lead contacted the facility administrator via phone to confirm the documents were not submitted. Per administrator the documents were not sent.

During today’s visit LPA Rankin explained to the Team Lead that the POC is now considered late.

On 4/17/25 facility was cited for Title 22 Section 81061(j) The licensee shall notify the licensing agency, in writing, within 10 working days of a change of administrator or program director. On 4/18/25 LPA Rankin emailed Gloria Torres a copy of the Case Management Report from 4/17/25, which shows the Plan of Correction, the regulations cited, and the due date of 05/02/25.

On 5/1/25 facility submitted LIC 308 Designation of Facility Responsibility via email to LPA. In which LPA responded on 5/1/25 that per the Plan of Correction all required documents were to be submitted to comply with 81061(j) which included 81061(j)(3) “Description of his/her background and qualifications, including documentation of required education and related experience.” On 5/5/25 LPA Rankin sent a follow-up email to confirm that Gloria received the request for additional documentation to comply with the Plan of Correction, on 5/6/25 Gloria responded confirming receipt of email.