Follow-up on corrections·October 27, 2023

Licensing Program Analyst (LPA) Jessica Cho continued the visit after delivering the findings into Complaint Control Number: 22-AS-20230719155923. The purpose of this subsequent visit is to issue a citation after discovering a deficiency while conducting an investigation in connection with the complaint mentioned above. LPA explained the reason for the Case Management-Deficiencies visit to Chief Executive Officer/President Rob Goerzen. During the complaint investigation held on August 31, 2023, Staff #1 (S1) confirmed that the facility did not report the fire caused by an electrical circuit from the steam well due to being deemed uneventful. The fire occurred on July 18, 2023, and as per the Title 22 regulations, the facility is mandated to report a fire to the licensing agency no later than the next working day. The Department did not receive the incident report the following day after the occurrence, therefore the preponderance of evidence standard has been met. A deficiency is being cited as per Title 22, Division 6, Chapter 8 of the California Code of Regulations. See the attached LIC809-D. An exit interview was conducted with Chief Executive Officer/President Rob Goerzen, and a copy of this report along with the LIC809-D, LIC811, and the appeal rights were provided at the end of the visit.