1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case Management visit. The LPA introduced himself and disclosed the purpose of the visit to Administrator Rathi.
During today’s visit, the LPA assessed an immediate $500 civil penalty in an LIC 421IM form. This civil penalty was in response to a previously substantiated complaint allegation (Complaint # 08-AS-20191231162534).
On December 31st, 2019, it was reported to the Department staff left a resident in soiled clothing. The Department investigated and substantiated the allegation on June 18th, 2021. During the visit, the LPA also delivered and amended LIC 9099D page, noting the deficiency was amended from a Type B to a Type A Deficiency.
An exit interview was conducted with Rathi, to whom a copy of this report, LIC 421IM form, and the Licensee Appeal Rights (LIC 9058), were provided.
|