Facility Evaluation Report

On 3/5/2025, Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted a unannounced complaint investigation. During this time deficiencies were observed and a case management for deficiencies was conducted and discussed the deficiencies with designated administrator (DADM) Shujen Collado.

During file and record review LPA observed Staff 2 (S2) was not associated to the facility and no application to transfer the criminal background was submitted to CCLD for approval. LPA observed an incident report was not submitted to CCLD for 1 out of 6 resident (R1) for elopement that happened on 1/14/2025.

S2 stated that he/she started working in the facility February 28, 2025, but is associated to a different facility under the same ownership/licensee. DADM stated that S2s application to be associated to the facility has not been submitted to CCLD prior to S2 working at the facility. S2 has a clear criminal background record on file.

Citations are bein g issued based on the following California Code of Regulations (CCR) Title 22 87355 (e)(2) and 87211(a)(D).

Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days for a total of $500.00.

An exit interview was conducted with DADM Shujen Collado, a copy of the report and appeals rights were provided.