Senior Care Records.

Facility Evaluation Report

Community Integrated Work Program, Antioch06/14/2024Licence 075600385

Capacity48
Census6
Date signed06/14/2024 02:01:09 PM
The inspector’s account

On 6/14/2024, at 1:30pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 6/11/2024. LPA met with Monica Cordoza, Director, and explained the purpose of the visit.

S1 submitted an incident report for a client that was left unsupervised on 6/10/2024. S1 stated S2 was aware that C1 had went to the bathroom, and S2 kept walking with two (2) other clients. When C1 came out of the bathroom he did not see S2 or the facility van and thought they had left. The facility had previously conducted an in-service training regarding supervision on May 21, 2024, with all staff. The facility conducted an internal investigation and terminated S2.

LPA L. Hall obtained an amended incident report dated 6/12/2024 and a copy of S2's termination letter.

Exit interview conducted and a copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction