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Director
Jasmin Smith
Licensee
Darlene Gardner
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specified in (d)(2) below shall be submitted to the Department within seven days ... This requirement is not met by facility failed to report the Unususal Incident that occurred whicj poses an immediate helath 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 trauned staff on 04/3/2026 on Unususal Incident Reports. Agends alonf with sign in sheet was provided. Karren Starks Doris Whitmore DATE: 04/21/2026 DATE: 04/21/2026 Page: 3 of 3
Standard 101212(d)(1)
State severity
Type B
Corrected at visit
Not recorded
Correction due
Apr 21, 2026
Technical assistance
Not recorded
Finding source ID
ca:197495375:2026-04-21:101212(d)(1):1
Visit source ID
ca:197495375:2026-04-21:other
Apr 14, 2026Other visit
No findings recorded
Apr 6, 2026Inspection
No findings recorded
Mar 11, 2026Other visit1 finding
Standard 101170(e)(1)
Critical
This requirement was not met as evidence by: Based off of record review. Staff was not listed on Guardian on 03/09/2026. As of 03/11/2026 staff was not listed. without a criminal record clearance. whicj poses an immediate helath 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 sent the staff to get a live scan today 03/11/2026. Licensee will submit the live scan receipt by 03/12/2026. Karren Starks Doris Whitmore DATE: 03/11/2026 DATE: 03/11/2026 Page: 3 of 3
Standard 101170(e)(1)
State severity
Type A
Corrected at visit
Not recorded
Correction due
Mar 12, 2026
Technical assistance
Not recorded
Finding source ID
ca:197495375:2026-03-11:101170(e)(1):1
Visit source ID
ca:197495375:2026-03-11:other
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State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.