Follow-up on corrections·September 23, 2022

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 9/23/22 at 9:30a LPA met with Regina Farinias, Marketing Director and stated the purpose of the visit. LPA inquired about a Designation of Facility Responsibility (LIC308) and the staff was unsure of the document being requested. On 9/13/22, LPA was informed that the Administrator would no longer be working at this facility. On 9/14/22, LPA received a call from the Corporate Office indicating a new Administrator would be hired. On the same date, LPA emailed the pertinent documents that would be needed to change the Administrator on record with the Department. On 9/21/22, LPA emailed Corporate Office inquiring about the documents. During todays subsequent visit, LPA received an email indicating the documents for a new Administrator will be provided to Community Care Licensing (CCL) by the week of 9/26/22. The email that was sent by LPA contained the following information: Here is the information to change a administrator. Please ensure there is an LIC308 in effect. Here is the information that need to be submitted to avoid a citation in the event that a change is necessary. Please ensure the person is fingerprint cleared and associated to the facility through your Guardian account, and submit the documents mentioned below. At which time I can process the change. These documents are to be submitted as well as notification to the Department any time there is a change or intended change in the Administrator and/or Executive Director. Administrator Certificate, Personnel Record (LIC501), Health Screening with TB (LIC503), CPR/First Aid, Criminal record statement (LIC508), -Designation (LIC308), -A letter from the Licensee appointing the person to be able to speak on behalf of the Licensee. Updated Personnel Report (LIC500) showing the Administrator on schedule in the facility 40hrs per week To date, the Department has not received for 10 days a Designation of Facility Responsibility (LIC308) nor documentation of an administrator with the supporting documents. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, the following deficiencies are being cited on the attached 809D during this visit. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Staff was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights. An exit interview was conducted, and a copy of the report was given.