Follow-up on corrections·February 23, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an announced case management visit to cite deficiencies observed during a complaint visit that are unrelated to the complaint allegations. LPA identified herself to, was greeted by, and explained the purpose of the visit to Wellness Director Diana Rodriguez. During the unrelated complaint visit, LPA observed Staff 1 (S1) working at the facility [Caregiver Supervisor was given an LIC811 Confidential Names List to identify S1]. Review of the Department's personnel record for individuals associated to the facility revealed that S1 was not associated to the facility. Interviews with S1 revealed that S1 has been working at the facility for more than 5 days. Therefore, a deficiency regarding staff association is being cited per California Code of Regulations Title 22 and noted on the attached LIC809-D page. Additionally, a civil penalty in the amount of $500 is being issued on an LIC421BG. An exit interview was conducted with Caregiver Supervisor Mina Ramirez , whose signature below confirms receipt of a copy of this report (LIC809), LIC811, LIC421BG, and the Licensee Appeal Rights (LIC9058 3/22).