Facility Evaluation Report

Unannounced Case Management visit made out to this facility on 09/30/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated personnel Ednita Gardenhire who contacted the facility designated Administrator Julian Hawes to inform him that CCL was present at this time. Brief discussion was held, over the phone, with the facility designated Administrator Julian Hawes.

Brief interview was conducted with Ednita Gardenhire.

The purpose of this visit was to follow up on the annual license fees that were due at this time. CCL records indicated that this facility license was effective on 08/25/2021 and a notice of payment was sent out to this facility on 06/01/2022. The due date for payment was 08/25/2022.

As of the date of this case management visit, 09/30/2022, this facility was still showing that the annual license fee had not been paid.

The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes.

Appeal rights were printed and a copy was given to the facility designated personnel Ednita Gardenhire.