Facility Evaluation Report
Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management Visit and met with Administrator Mauna Morris.
During visit, LPA Marrufo observed there to be 19 clients and 5 staff. LPA Marrufo interviewed staff S1-S5 as well as Administrator Morris. LPA Marrufo obtained copies of the following facility records during visit: Resident Roster from 08/25/2023, Staff Daily Sign-In/Out Sheet from August 2023, and August 2023 Calendar.
Upon review of records, LPA observed that the Resident Roster from 08/25/2023 indicates that there were 21 clients at the facility from 12:00 PM to 2:30 PM. The Staff Daily Sign-in/Out Sheet from August 2023 indicates that there were 5 staff at the facility from morning until 3:45 PM and Administrator Morris arrived at the facility at 2:00 PM.
A deficiency has been cited as per California Code of Regulations Title 22. See LIC809-D for more information.
The facility was cited for the same deficiency on 08/04/2023. Due to repeated violations, an immediate civil penalty of $250 has been assessed.
This report was reviewed with Administrator Morris and a copy of the report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction