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 one out of two Assistants (A2) did not have the required LIC 9052 form in the staff files which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 05/11/2023

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.