Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted a Case Management - Deficiencies visit in conjunction with a complaint visit conducted on today's date. LPA met with facility staff. The purpose of this report is to issue citations for a deficiency observed during the complaint investigation.

During today's visit, the Administrator of record was unavailable. LPA interviewed staff and clients, who all stated when regular staff are unavailable, a volunteer is present. LPA reviewed the facility's Guardian roster and observed that volunteer staff #1 (VS1) is no longer associated to the facility as of 04/05/2024. Administrator stated that VS1 had previously worked here, however, was separated at that time as they were no longer working here. Then, when VS1 returned to volunteer at the facility, they were not re-associated at that time. Interview revealed that VS1 has been at the facility providing supervision to the clients fairly regularly for at least 2-3 months.

Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 809-D.) Civil penalty assessed in the amount of $500. Facility staff was informed that failure to correct the deficiency may result in additional civil penalties.

Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.