Admission Procedures and Authorized Representatives Rights
MinorBased on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
LICENSEE WILL HAVE THE CHILD'S PARENT/GUARDIAN SIGN THE LIC 995 PARENT'S RIGHTS RECEIPT TO BE PUT INTO THEIR CHILD'S FILE AND SUBMIT A COPY TO COMMUNITY CARE LICENSING BY 3/31/22
Standard 102419(d)(1) · Admission Procedures and Authorized Representatives Rights
- State severity
- Type B
- Corrected at visit
- Not recorded
- Correction due
- Mar 31, 2022
- Technical assistance
- Not recorded
- Finding source ID
- ca:073408581:2022-03-24:102419(d)(1):1
- Visit source ID
- ca:073408581:2022-03-24:other