Follow-up·July 22, 2021

Licensing Program Analyst(s) (LPA) Mary Flores conducted a case management visit to correct case management visit conducted on 5/19/21 by adding start date of employment for staff. LPA Flores met with administrator and explained the reason for the visit. On 5/19/21 LPAs Flores and Mora conducted a complaint investigation during the visit it was discovered staff #2(S2), and staff #3(S3) providing care and supervision to residents in care were not listed in the licensing information system (LIS) roster for the facility. LPA(s) verified staff clearance with regional office via phone call. Although, S2 and S3 have a background clearance on record, S2 and S3 were not associated to the facility. S2 start date of employment was on 4/19/2021 and S3 start date of employment was on 2/5/20218. Per, Title 22, Division 6, Chapter 8, Article 6. Criminal Record Clearance; (e) All individuals subject to a criminal record review pursuant to Health and Safety Code section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 1569.17(b). *Immediate Civil Penalties were assess. Per Title 22, Division 6 ,Chapter 8 (e) Violation of Section 87355(e) shall result in an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the department. Civil Penalties were assess at $1000.* Exit interview was conducted with Emma Todapzuikyan - Administrator and a copy of the report, LIC809D, LIC421BG, and appeal rights was provided.