Follow-up on corrections·December 5, 2023

On 12/05/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a case management visit. LPA met with Facility Designated Administrator, Mitch Word and Facility Designated Representative (FDR), Jim Sidoti and explained the purpose of the visit. The purpose of this visit was in response to the complaint visit to this facility that was conducted on 12/05/2023. It was learned during this visit that S1 was currently not associated to the facility roster. LPA reviewed the Licensing Information System (LIS) and Guardian portal to determine of S1 was associated at this time. It was observed that S1 was not associated to this facility as of this date. An immediate civil penalty of $500 was issued at the time of this visit due to violation of Section 87355(e)(2). Based on the information gathered during the course of this visit, per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, 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. An exit interview was conducted, and a copy of the report will be given.