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25 | Licensing Program Analyst(LPA) P Rivas conducted an unannounced case management visit to investigate two incidents reported on 02/02/22.
A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearances or exemptions and a child abuse index clearance. A Facility Risk assessment was conducted to determine the level of Personal Protective Equipment (PPE) was needed for an on-site inspection.
Due to COVID 19 guidelines, LPA observed staff wearing face masks, and were following CDC and Dept of Public Health Guidelines
Incident #1 occurred on 02/01/22 involving Staff#1(S1) and Child #1(C1).
Incident #2 occurred on 11/04/21 involving S1 and C2.
LPA reviewed 1 staff file and two children files, interviewed one staff and attempted to interview C1. LPA was unable to qualify C1.
Due to insufficient information available at this time further investigation is required.
An exit interview as conducted. Notice of Site Visit was posted during the visit. The facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100 per day. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. First level appeal is to Regional manager, address is above on the report. The facility representative was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov. and accessibility and access to the website was discussed with the care provider. This report is to be on file and accessible for public review at the facility for at least 3 years.
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