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13 | Licensing Program Analyst, LPA, Noel Wolf Petersen, arrived to the facility to conduct a complaint investigation, 8am, 4/17/26. LPA met with Genaro Basiac to explain the purpose of the visit
The allegation of false claims was clarified to be a staff falsely represented as another person, through administrator interview and a review the staff records for the employes and LIC500, it was learned that staff records were not complete for 4 staff, and in one instance the a employee was not added to the staff roster to obfuscate that her fingerprinting status was not complete.
Based on LPAs observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, are being cited on the attached LIC 9099D.
A copy of the report was read and given to the administrator with the appeal rights, an exit interview was conducted. |
| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type A
04/18/2026
Section Cited
CCR
80065(i)(5) | 1
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7 | 80065 Personnel Requirements (i) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations | 1
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7 | LPA is asking a staff should be asked to leave, not permitted to work a shift until the finger printing is completed. Licensee should send either confirmation of the fingerprinting completion or confirmation of dismissal of the employee. The fingerprinting process might take a few days, Licensee should provide an update weekly until its done. |
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14 | This requirement was not met as evidenced by: administrator interview where it was described that an employee does not have thier fingerprinting done, the LPA observed this employee in the facility on 2 seperate visits. Not following this requirement poses an immediate risk to the clients health, saftey, and personal rights | 8
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Type B
04/24/2026
Section Cited
CCR
87405(d)(3) | 1
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7 | 87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (3) Ability to maintain or supervise the maintenance of financial and other records. | 1
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7 | Licensing is asking for an form of identiity verification for each employee, including but not limited to a photocopy of a drivers license picture ID with name and age, or a Passport photo with name and age or a social security number |
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14 | This requirement was not met as evidenced by: in a record review of 4 of 4 staff records reviewed have employees with no method of identity verification (social sequrity number). Not following this requirement posed a potential risk to the clients health, saftey, and personal rights | 8
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