Facility Evaluation Report
On 4/6/2023 at 3:15PM, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a case management visit regarding an incident report. LPA met with Nicolas Dedicatoria, Lead and explained the reason for the visit. Regional Manager, Tiffany Spiecker arrived 3:35PM.
The Department received an incident report dated 3/27/2023. During review of the incident report LPA L. Hall observed S3 was not associated to the facility but was providing care to the clients.
During interview with S2 it was stated that S4 legal last name is different than what was written on the incident report. LPA checked guardian and observed S3 name listed.
Exit interview conduct and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction