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25 | On 07/31/2023, Licensing Program Analysts (LPAs) Arielle Pascua and Christina Valerio arrived unannounced to this facility to conduct a Plan of Correction (POC) visit. LPAs met with Staff Member (SM), Andrea Rush and explained the purpose of the visit. LPA Pascua asked that SM Rush call the Facility Designated Administrator (FDA), Julian Hawes, and inform him that Community Care Licensing was present at the facility and inform him of the purpose of the visit. It was learned that FDA Hawes was unable to come at the facility at this time. LPAs continued the visit with SM Rush. There was one other staff member present at the time of this visit, Alma Moyamoy.
Current census was 4.
The purpose of this visit was to follow up on the prior deficiencies and plan of corrections that were due on 06/30/2023 from a prior complaint visit conducted on 06/01/2023. As of the date of this visit, 07/31/2023, the department has not received any forms or documents to support that the plan of correction has been completed by this facility and its designated Administrator at this time.
- A civil penalty in the amount of $2,400 was assessed for violations of Section 80087(a) for the time between 07/08/2023-07/31/2023. This civil penalty was due to failure to correct the deficiency by the Plan of Correction date 06/30/2023. The Facility was informed that the civil penalty will continue to accrue $100 per day per violation until the deficiency is corrected.
An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit. A copy of the report was also emailed to the Facility Designated Administrator read receipt confirmed receiving these documents.
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