Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to open an initial complaint investigation. During visit, a violation was observed therefore, a case management - deficiencies visit was conducted. LPA met with caregiver / designated Administrator (ADM), Hsiuluan "Tina" Liu.

During visit, LPA observed 1 staff member (S1) working and assisting residents. LPA observed S1's background check is "pending" determination per the facility's personnel print out from 02/14/2024. S1 states he/she went to get fingerprinted, however, S1 has not received a fingerprint clearance. Designated ADM states S1 went to get fingerprinted on Monday, 02/12/2024 and started work on Monday, 02/12/2024. Designated ADM admits S1 has not received a fingerprint clearance from the Department.

LPA reviewed the Departments Background Clearance System during visit, which shows S1's background clearance is still "in process". Designated ADM immediately released S1 from work. S1 was informed he/she cannot work in the facility until S1 receives a fingerprint clearance from the Department. LPA Dolores spoke with Administrator (ADM), Ying Wang over the telephone regarding S1's fingerprint clearance. ADM states going forward they will make sure staff receive a fingerprint clearance before starting work.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809-D. A civil penalty is being assessed for the amount of $400 ($100 x 4 days) = $400 for S1 working in the facility without a fingerprint clearance. See LIC421BG. This report was reviewed with Administrator, Ying Wang over the telephone. A copy of the report was signed by Tina Liu. The report and appeal rights were provided to Tina.