Facility Evaluation Report

Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a Case Management - Incident follow-up visit regarding an incident report received by CCL on 10/11/2024 from a client's Day Program and was greeted by Staff 1 (S1). Licensee was contacted via telephone and informed LPA that the client resides at their other care home, Care Great.

However, upon entering the facility, LPA immediately observed a single sized mattress and box spring on the floor made up with sheets and a pillow in the living room directly off of the entryway, (see LIC809D). LPA informed Licensee that they cannot have a bed there or in any common area of the facility. Licensee stated that it is for overnight staff and asked where they could sleep then? LPA advised Licensee that staff shall not sleep in any resident bedroom, common are, the garage or any un-permitted structures. Licensee agreed to remove the bed tomorrow and send LPA pictures.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted with S1 and Appeal rights were given. Signature on form confirms receipt.