Follow-up on corrections·March 24, 2023

Licensing Program Analyst (LPA) Jessica Cho conducted a case management visit for the purpose to issue a citation after delivering the findings in connection to complaint control number: 22-AS-20230317083408. LPA met with Administrator (Admin) Mary Salcedo and explained the reason for the visit. On March 24, 2023 during the complaint visit in connection to complaint control number: 22-AS-20230317083408, LPA interviewed Staff (S1) in person and Staff 2 (S2) by telephone. LPA observed during the staff file review that Staff 1 (S1) and Staff 2 (S2) were not reflected on the Personnel Report Summary via the Licensing Information System (LIS) dated March 22, 2023. On today's date at 1:40pm and 1:41pm, LPA observed via the Department's Guardian Background Check that S1 and S2 were fingerprint cleared but not associated to the facility which the Admin acknowledged. Per review of records, S1 was employed on August 17, 2022 and on July 12, 2021 for S2. Per Title 22 Regulation 87355 Criminal Record Clearance, facility is required to request a transfer criminal record clearance prior to working at the facility, therefore the preponderance of evidence standard has been met. Based on observations, interviews conducted, and the records reviewed, a deficiency is being cited per Title 22 Division 6 Chapter 8 of the California Code of Regulations. See LIC809D. An immediate CIVIL PENALTY (LIC421BG) is assessed. An exit interview was conducted with Administrator Mary Salcedo, and a copy of this report along with the LIC811, LIC809D, LIC421BG, and the appeal rights were provided during this visit.