Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to initially open a complaint investigation. During the complaint investigation, a case management deficiencies visit was conducted due a violation observed. LPA met with Licensee, Irish Ladwig.

Upon arrival, LPA was greeted at the front door by staff (S1). Based on record review, S1 was not associated to the facility roster. Licensee and S2 states S1 started orientation and is not directly working with residents. It was stated S1 was only shadowing S2 to observe the job duties and responsibilities of a caregiver. Licensee states S1 started orientation today, 07/19/2023. Licensee states to have sent S1 for live scan but has not received S1’s background clearance. Based on review of Guardian, S1's background was "eligible - cleared" as of 07/15/2023.

Licensee voluntarily asked S1 to leave the facility.

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 $100 ($100 per day x 1 day = $100) for staff (S1) working at the facility without clearance transfer. Please LIC421BG.

This report was reviewed with Licensee, Irish Ladwig and a copy of the report and appeal rights were provided.