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32 | continue from LIC809
LPA observed the following deficiencies:
· At 10:58am, LPA observed water machine, boxes, plastics, chairs, fruit, onions, and lamps located on the open porch.
· At 10:59am, LPA observed 2 rakes, 2 ladders, wheel barrow wood planks with nails, and shovel.
· At 11:15am, LPA observed unlocked allergy relief medication located in kitchen cabinet.
LPA requested the following documents to be submitted to CCLD by 10/16/2024.
· Resident Roster
· LIC 308 Designation of Administrative Responsibility
· LIC 309 Administrative Organization
· LIC 500 Personnel Report
· LIC 610E Emergency Disaster Plan (9 pages)
· Liability Insurance
The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. A copy of the LIC421IM, this report and appeal rights provided |