Follow-up on corrections·March 22, 2024

On 3/22/2024, Licensing Program Analyst's (LPA) Suzette Ornelas conducted an unannounced case management inspection for the purpose of deficiencies observed during a complaint investigation for complaint control # 58-CC-20240313091018 . Upon arrival LPA was greeted by Director, Kimberly Ogas and observed 43 children and 10 adults. LPA Ornelas investigated complaint control # 58-CC-20240313091018 . According to the complaint investigation report received on 3/13/2024. An unusual incident occurred 1/16/2024. Based on interview conducted with Director, It was confirmed that there was an attempt made to report the unusual incident to the case carrying LPA on 1/16/2024; however, no direct contact with the on duty worker was made and an Unusual Incident Report (LIC624) was not submitted to the department within 7 days at ESROsupportstaff@dss.ca.gov LPA explained to the Director that when an incident occurs, according to Title 22 Regulations, the incident must be reported to the department within 24 hrs., and a written report using the unusual incident /injury report LIC624 form must be filled out and mailed to the department within 7 days. Director understands and will comply. LPA Ornelas provided Director with a copy of the Reporting Requirements regulation, LIC624 and the phone number to contact the on duty analyst (424-301-3077). The following Type B deficiency is being cited on 3/22/2024 in accordance to Title 22 of the California Code of Regulations: 101212 (d) Reporting Requirements . Please refer to LIC809-D for cited deficiency. A copy of this report, notice of site visit, and appeal rights were provided. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with the Director