Follow-up on corrections·April 6, 2022

On this date, Licensing Program Analysts (LPAs) Crystal Colvin and Venus Mixon made an unannounced visit to the facility to investigate a complaint #18-AS-20220330113756. During today's inspection, LPA Colvin observed the following deficiency, which was reviewed with Licensee/Administrator Elizabeth Hengstler: LPA Colvin requested all staff files for those staff who worked at the facility during the month of March 2022. In the stack of staff files presented to LPA Colvin, was staff member (S1), who LPA Colvin observed to not be associated to the facility. LPA Colvin contacted the Riverside Regional Office for Community Care Licensing (CCL) and inquired with staff at the office regarding S1. LPA Colvin discovered that S1 needs an exemption transfer in order to be associated to the facility, and at this time, S1 is only associated to one facility, which is neither of the Licensee's facilities. LPA Colvin reviewed S1's file closely and observed that there was a completed LIC9182 (Criminal Background Clearance Transfer Request) in S1's file, but S1 would need a LIC9188 (Criminal Record Exemption Transfer Request) submitted instead. Additionally, LPA Colvin observed that the ID number on the form in S1's file is incorrect. Since S1 does not have an approved Exemption Transfer to this facility, S1 is not permitted to work, reside, or be present in the facility. Deficiency cited. Staff present in the facility without proper clearance or exemption transfer results in civil penalties in the amount of $100 per day for a maximum of 5 days. The facility is being cited $500 for the maximum of 5 days, as S1 has been employed and working at the facility since 5/8/20 (according to S1's file). An exit interview was conducted with Licensee/Administrator Elizabeth Hengstler, and a copy of this report, LIC 809D, LIC421BG, and appeal rights was provided.