102416.1(a)(10) · Personnel Records (a) Personnel records shall be maintained on each employee and shall contain the following information: (10) A signed and dated copy of the Notice of Employee Rights [LIC 9052, (Rev. 03/03)] as required by Section 102416(a) and Section 102417.

Deficient Practice Statement Based 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. THIS REQUIREMENT WAS NOT MET AS EVIDENCED BY A REVIEW OF RECORDS WHICH REVEALED LICENSEE'S ASSISTANT SUNITA DOES NOT HAVE THE EMPLOYEE RIGHTS FORM IN FILE POC Due Date: 07/17/2025

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.