Facility Evaluation Report
On 08/14/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a case management visit. LPA met with Staff member (SM), Paciencia Castro and Alexander Lugtu. LPA asked that they notify House Manager (HM), that CCL was present at this time. LPA was able to speak with House Manager (HM), Kenroy Anderson to notify him that CCL was present. LPA was informed that HM Anderson was the individual in charge of the facility and was in a meeting at this time but will be able to meet the LPA in 30 minutes. At 11:15am, LPA met with HM Anderson and explained the purpose of this visit. Current census was 4. A brief interview with HM Anderson was conducted.
The purpose of this visit was to follow up on the Facility Designated Administrator. On On 08/08/2024, it was learned that the Facility Designated Administrator (FDA), Norma Borges was separated on the staff roster on 06/17/2024. LPA conducted a phone call with former administrator who also confirmed that they provided their notice sometime in June 2024 and no longer work at this facility. LPA reviewed facility records which confirm that the department was not notified that the current administrator on file no longer worked at this facility. On 08/08/2024 at 10:23am, LPA Pascua emailed Licensee Julian Hawes to inform him that there currently no certified administrator at this facility. LPA Pascua asked Licensee Hawes to provide supplemental paperwork to designate a new administrator to the LPA email by 08/13/2024 at 5:00pm. As the date of this visit, 08/14/2024, this LPA has not received any paperwork to designate a new certified Administrator. LPA requested that the following paperwork to be submitted to the LPA at arielle.pascua@dss.ca.gov by 08/15/2024 to designate a new administrator at the facility:
· A letter from the licensee or Board appointing the new Administrator
· A copy of the current Administrator Certificate
· Any documentation meeting the education and/or experience requirements
· LIC 200 signed by the licensee or designee
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction