Facility Evaluation Report

On 5/11/2022 at 8:10 AM, Licensing Program Analyst (LPA) Jaclyn Avila arrived at the facility unannounced to conduct a complaint investigation, LPA met with administrator Nicole Elder and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask.

At the time the Department arrived at the facility, the Department knocked multiple times and was greeted by two unsupervised clients. Clients said staff was sleeping and typically sleeps until 930 AM. The clients stated they have not yet had breakfast and haven't gone to day program since COVID. The Department entered the facility and sat at the kitchen table for approximately 50 minutes at which time the Department contacted the administrator/licensee Nicole Elder via phone. Community Care Licensing management was notified.

The Department requested Nicole respond to the facility immediately which she did. Staff said she was getting up and ready in the bathroom and that the clients should have notified her that someone was at the door. The licensee also stated that the clients shouldn't have opened the door and should have notified staff there was someone here.

The following deficiencies were cited per Title 22 of the California Code of Regulation (See 809D). Appeal Rights were explained and provided to the facility representative listed above and an Exit Interview was conducted. If any of the cited deficiencies are not corrected by the noted due dates; civil penalties may be assessed. Civil Penalties assess in the amount of $500 for absence of supervision.