Follow-up·April 21, 2022

Licensing Program Analysts Patricia Rivas and Patricia Duron conducted an unannounced Case Management visit . LPAS met with Director, Kimberly Ewing and Jennifer Peterson, Regional Manager to discuss the Lead Sampling Testing conducted on 03/17/22. Licensee was advised on 04/20/22 that the Lead Sample Report was to be posted. LPAs confirmed the Director had posted the Lead Sample Report on front entrance on fence. Ms. Ewing stated the outlet with high lead levels is inoperable. One outlet in the kitchen sink (F) that had a filter on it failed. However, the sink was not used as they have drinking water via water cooler. The facility has taped, posted signs . Families were notified copy of letter provided. LPAs viewed faucet to be taped, and sign posted made inoperable. Based on LPAs record reviews and observations nthe following violation was observed and is being cited in accordance with California Code of Regulations Title 22, Division 12, Chapter 3, Section 101238(a) Buildings and Grounds is being cited on the attached LIC 809D. An inspection and exit interview were completed with Director, Ewing. The report was reviewed and discussed. Appeal Rights were discussed. Ms. Ewing was provided copy of their appeal rights (lic 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received the the Regiona Office within 15 business days. The Director, Ms. Ewing was informed that the "Notice of Site Visit" must be posted for 30 consecutive days. The Notice of Site Visit must be posted on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.