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25 | Licensing Program Analyst (LPA) Judy Mora contacted the facility via telephone due to COVID-19 and pre-cautionary measures. LPA Mora identified herself and spoke to Lucy Cervantes and discussed the purpose of the call. LPA conducted interviews and obtained documentation during this visit.
The incident that occurred on 02/04/21, was reported to the Department on 02/04/21 via telephone. The facility did report the incident in a timely manner.
Based on all information obtained on this date, and interviews conducted with staff, no follow-up is necessary regarding the incident. The incident appears to be an unusual incident and no disclosures were made during the interviews.
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.
An exit phone interview has been conducted with Amanda Velasquez and Anna Lopez. Appeal Rights were verbally explained. A copy of this report has been signed by LPA Mora. This report along with the Appeal Rights will be scanned via e-mail to Amanda Velasquez, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report and the Appeal Rights will be mailed and Director agrees to sign the bottom of each page and return the originals to LPA Mora in-person or via U.S. Mail.
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