Standard 101212(b)
MinorBased on record review, the licensee did not comply with the section cited above by not submitting the complete director packet in a timely to the Department 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 representative will submit all the missing documentations by the due date to LPA. Jeevun Birk-Miller Ye Vang DATE: 09/14/2026 DATE: 09/14/2026 Page: 3 of 3
Standard 101212(b)
- State severity
- Type B
- Corrected at visit
- Not recorded
- Correction due
- Sep 30, 2026
- Technical assistance
- Not recorded
- Finding source ID
- ca:093604118:2026-09-14:101212(b):1
- Visit source ID
- ca:093604118:2026-09-14:other