Facility Evaluation Report
On 8/11/2023 at 12:05pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 8/4/2023. LPA met with Adam Olives, Administrator and explained the purpose of the visit.
Review of incident report indicates the incident occurred on 8/2/2023. C1 made allegations toward three (3) staff members. The facility conducted an internal investigation for the allegations. The first allegation that involved S2 allegedly occurred in March 2023 the facility didn't have any time frame of when the other 2 allegations took place. Record review indicated S4 self reported incident to facility on a descriptive assessment: ABC data. Record review and internal interview for the second allegation that involved S5 indicated S5 was never involved in a car hold scenario. The facility did not directly interview S6 regarding the allegation. The facility interviewed C1 and stated C1's story changed a few times. C1 stated during interview with LPA that S4 punched him but was not able to give date. C1 mention there was an incident on Sunday with a staff, but that staff was not working on Sunday. C1 did not mention any other incidents that occurred.
LPA L. Hall collected investigation summary and descriptive assessment: ABC data.
Exit interview conducted and a copy of this report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction