Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived to Ruthie's Home facility unannounced regarding a complaint investigation. Upon arrival, LPA observed Individual (I2) who was working with clients. A review of facility records and interviews conducted revealed individual (I2) was working at Ruthie's Home since 10/21/21 (photos taken) for a total of two days. LPA verified through the facility Guardian Personal Report/Roster and with Community Care Licensing Rohnert Park Regional Office that I2 has a fingerprint clearance but was not associated to Ruthie's Home facility as required.

LPA explained prior to anyone working (including shadowing a staff and/or training), volunteering, residing or being present in any part of the licensed facility, they are required to be fingerprint cleared and associated to the facility. LPA explained Community Care Licensing (CCL) requirements and provided the regulation.

Licensee and House Manager stated they understood CCL's requirements and prior to anyone working, providing care, volunteering, or residing at Ruthie's Home, the individual must obtain a fingerprint clearance and be associated to the facility.

A Civil penalty in the total amount of $200.00 was assessed today for individual (I2), who was not associated to this facility as required.

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

Exit interview conducted with Raquel Cistac, House Manager, who's signature below confirms receipt of report.