Facility Evaluation Report

Licensing Program Analyst (LPA) A. Canela arrived to JPS Home Care Services unannounced regarding a complaint investigation. LPA observed Individual (I1), providing care/assistance to residents in the facility.

LPA verified through the facility Guardian Personal Report/Roster that I1 had a fingerprint clearance but was not associated to JPS Home Care Services as required.

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

Civil penalty in the total amount of $100.00 was issued today for individual (I1) not being 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 Evelyn Serrano. Due to printer issues this report and Appeal rights will be emailed to Licensee.