Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to originally deliver complaint investigation findings. During visit, a case management - deficiencies visit was conducted based on violations observed. Administrator (ADM), Kaitlyn Brownell sat outside the facility and was unable to enter the facility due to a sickness. ADM provided consent to staff (S1) to sign the reports. LPA communicated with ADM via telephone.

There were no residents present inside the facility during visit. Staff (S1) states the residents are at the day program. LPA toured the facility with staff (S1) to include the living room, kitchen, dining room, garage, resident bedrooms, and staff room. LPA observed the facility's backyard. During tour of the garage, LPA observed a mattress, linens, comforter, and personal items that were surrounded by cardboard boxes, dressers, and shelves. Staff (S2) was interviewed and states to be a live-in staff. S2 states to sleep in the staff bedroom located inside the facility but sleeps in the garage during break-time. LPA observed S2 is not fingerprint cleared per the Department's background check system, Guardian. ADM was unable to provide proof that S2 was cleared by the Department prior to employment. ADM states S2 started work in the facility a "couple weeks ago", however, based on review of S2's files documents were dated from October 20, 2023. S2 was asked to leave the facility. ADM was informed that S2 cannot continue to live or work in the facility until S2 receives a fingerprint clearance from the Department. A copy of S2's application and LIC9182 was obtained during visit.

Deficiencies were cited per California Code of Regulations, Title 22. A plan of correction (POC) was developed with ADM. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S2) working and residing at the facility without fingerprint clearance. Please see LIC 421BG. This report was reviewed with Administrator, Kaitlyn Brownell over the telephone. ADM provided verbal consent to allow staff (S1) to sign the report. A copy of the report and appeal rights were provided during visit.