Follow-up·September 26, 2023

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management - Other visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Human Resources Coordinator Tasha Smith. During today’s visit, LPA briefly toured the facility, interviewed staff, and reviewed written correspondence and personnel records. LPA also reviewed with licensee a signed/executed CDSS Decision and Order (D&O), which excluded Staff #1 (S1) from employment at the facility. [See LIC811 Confidential Names List for a description of S1.] Manager interview, corroborated by personnel records, showed: From 05/05/2023 through 09/09/2023, Licensee allowed S1 to work as a full-time employee of the facility, despite Licensee not receiving positive written confirmation from CCLD showing that S1 had received criminal record clearance. Licensee subsequently realized that S1 was not background-cleared, nor eligible for a criminal record exemption. Starting 09/09/2023, Licensee removed S1 from contact with residents. On 09/19/2023, Licensee administratively terminated S1’s employment. A preponderance of evidence exists to show that for a period of time, Licensee allowed S1 to work at the facility without either a California criminal record clearance or a criminal record exemption. One (1) deficiency was thus cited per California Code of Regulations, Title 22. An immediate civil penalty of $500 was assessed today for a Criminal Record Clearance violation (see attached LIC 421-BG). An exit interview was conducted with Smith, to whom a copy of this report, the LIC809-D, the LIC421-BG, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.