Facility Evaluation Report

On 02/07/2025 around 12:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a Case Management regarding an Unusual Incident Report (UIR) received by CCL 0n 02/06/24. LPA was greeted by one staff upon entry and met with Shantanice Swain, Studio Director (S4) and explained the purpose of the visit.

While on desk duty, LPA reviewed an Unusual Incident Report (UIR) regarding self-injurious behaviors with scissors at C1’s Day Program. Interviews with Witness #1 (W1) and S3 revealed that this was the third occurrence at the Day Program. W1 stated that he/she did not initially know why C1’s toe was bleeding until it was report by the Day Program. Due to the nature of the Day Program being an art studio, LPA advised S1 and S3 that scissors would need to be locked and/or supervised based on the needs and services of the clients. After reviewing C1's records, two prior incidents occurred on 10/25/24 and 12/05/24. S4 provided additional details that the incident occurred in the fiber department, facilitators will be advised that a lockbox will secure all sharps, and the scissors at the front desk were removed during the visit. C1's Day Program, ARF and RCEB will be notified in an effort to provide assistance and mitigate C1's behaviors.

- Around 12:15 PM, LPA observed 2-3 unlocked scissors stored in cup holders at the front desk.

Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. 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 Shantanice Swain, Studio Director