Follow-up on corrections·December 21, 2021

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility for the purpose of following up on an open complaint investigation (#18-AS-20200325093433) and conducting additional interviews. During LPA Colvin's inspection today, LPA Colvin observed the following violations of Title 22 Regulations and Health and Safety Code: Unassociated Staff - LPA Colvin observed that 1 of 2 staff (S1) present at the facility during today's inspection was not associated to the facility. LPA Colvin confirmed that S1 did have fingerprint clearance, but has been working part time at the facility for three months and has not had their fingerprint clearance transferred to this facility. Deficiency cited. LPA Colvin previously cited this facility for the same violation on 5/4/21. Since this is the facility's second violation within a 12 month period, civil penalties are being assessed in the amount of $100 per day, with a maximum of 30 days instead of 5. LPA Colvin will be citing for the maximum of 30 days , as S1 has been working at the facility for 3 months. $100 a day x 30 days = $3,000 in civil penalties being assessed. Construction to Building - During LPA Colvin's tour of the facility, LPA Colvin observed that the back master bedroom (cleared for bedridden residents), has had two walls and a sliding glass door installed halfway through the room, sectioning off another make-shift room, which LPA Colvin observed to be fully furnished with a bed. LPA Colvin observed that this construction was not present during her last inspection at the facility on 5/4/21, and additionally, LPA Colvin did not observe any notes in LPA Colvin's system showing that the Licensee had contacted Community Care Licensing (CCL) about the construction, nor that a new floor plan had been submitted. Additionally, this change would require approval from the Fire Marshall, as the structure may affect the facility's fire clearance. Deficiency cited. Licensing Fees - LPA Colvin observed that the Licensee has not paid their annual fees for the year. These fees were due on the anniversary of the license, in February. The Licensee has additionally accrued a late charge due to the fees being overdue. As of 12/21/21, the Licensee owes $742 . Deficiency cited. Unsafe Walkway/Pavement - Upon LPA Colvin's arrival to the facility, LPA Colvin observed that there was a large section of pavement in the driveway, approximately 4 - 5 feet in length, which was broken and cracked, with some areas uneven, causing the ground to abruptly change height. LPA Colvin used a writing pen to measure the difference in the height of the pieces of pavement, and estimates the difference to be at least 2 inches. This is a potential hazard to the residents, staff, and visitors, as someone could trip and fall while walking up to the facility. LPA Colvin notes that the property/parcel of land has multiple properties on it, but the driveway is included in the facility's sketch, and therefore is included in the license and is considered part of the facility and the responsibility of the Licensee. Deficiency cited. An exit interview was conducted and a copy of this report, LIC809D, civil penalty forms and appeal rights, along with LIC 811 was provided to to Licensee/Administrator "Margarita" Ana Stark.