Follow-up·December 8, 2022

On 12/08/22 at 12PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced case management visit to follow up on the criminal record exemption status on staff (S1). LPA explained the purpose of the visit with administrator (ADM). ADM stated that S1 has been terminated since 08/29/22 and no longer works at the facility. Review of Guardian Portal on 12/08/22 shows S1 was associated on 02/22/22 with the facility and still an active employee with no separation or disassociation date. LPA obtained a copy of S1's separation form from ADM dated 08/29/22. Immediate civil penalty of $500 assessed during visit for employment of a non-cleared/excluded individual. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties . Exit interview conducted. Appeal Rights and a copy of this report provided.