Facility Evaluation Report

LPA Hiratsuka, conducted this unannounced case management visit. This is in response to the licensee not contacting Community Care Licensing Division to pay their annual fees.

On 11/17/2022, LPA was informed House Manager David Small and Administrator Erica Timberlake, they knew the annual fees were late and Mr. Small stated he wanted to set up a payment plan. LPA Hiratsuka agreed and waited for a call from Mr. Small. As of today LPA did not receive the phone call.

Licensee owes as of 05/12/2023, $3,062.50. LPA is issuing a citation regarding the nonpayment of annual fees.

The following deficiency was observed (See LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiency may result in civil penalties.

Exit Interview conducted and appeal rights provided.