Facility Evaluation Report

On 10/19/2023 Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a case management and was greeted by Licensee, April Thomas. The Department was informed that an individual (I1) was wanting to be associated to the facility as a staff member. Previously I1 had an action against them by the Department and was not to reside, work, live in a CCL facility. The terms of the Accusation, Decision and Order were effective from December 11, 2006 for two years.

LPA was informed that (I1) resides at the facility and does provide some services as a staff member. However, I1 does not provide any caregiving duties. I1 resides at the facility due to health concerns and is provided care by Licensee. Licensee has agreed that I1 will be considered a resident and will be in compliance with Title 22 Regulations regarding care and supervision.

**Immediate Civil Penalty assessed in the amount of $500 due to caregiver background clearance violation.

Deficiency cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.