Facility Evaluation Report

On 7/30/2024 at 12:15pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 7/25/2024. LPA met with Nicole Saures, Direct Support Professional. Administrator, Alfredo Limjoco, arrived at 12:40pm, and LPA explained the purpose of the visit.

The incident occurred on 7/24/2024 at approximately 6:00pm involved a client being given a meal containing a food that gave the client an allergic reaction. The incident report stated that the staff mislabeled the dinner plate and caused the client to have a reaction. During the visit LPA reviewed the menu that was posted and dated 7/22/24 - 7/28/24 and observed there wasn't any seafood item on the menu. S1 stated facility have been meal prepping dinner for five (5) days and one of the clients' requested seafood to be added to their meal.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. A copy of the appeal rights and this report provided.