Facility Evaluation Report

On 9/4/2024 Licensing Program Analysts(LPAs) A Gomez and P Manalo arrived unannounced to conduct a case management visit as a result of the department receiving notification that a client attempted suicide by ingesting over the counter medication. LPA's met with Licensee, Bernadette Dugan and explained the purpose of the visit.

On 8/20/2024 it was reported that C1 ingested approximately 12 over the counter acetaminophen in an attempt to commit suicide on the morning of 8/20/2024. Licensee notified LPA A Gomez via phone call on the day of the incident. LPA has not received the written report of incident but Licensee states that they emailed the report. Licensee states that they will resend the report. Licensee states that they were upstairs in the unlicensed part of the facility when the client "C1" came upstairs and informed the licensee that they had ingested medications. Licensee contacted the fire department and had the client transported to the hospital. Client was 5150 and has since returned to the facility. Licensee acknowledges that the clients were left unsupervised in the facility. Licensee states that the incident happened at approximately 9:30 AM.

****A Civil penalty is being issued in the amount of $250 for a repeat violation in 12 months****

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.