Facility Evaluation Report

On 08/19/2021, Licensing Program Analysts (LPAs) Walton and Yang arrived unannounced to conduct a Case Management Inspection. LPAs introduced selves, stated the purpose of the visit and requested to meet with the Administrator. LPAs met with Program Director, Lauren Horn.

It was reported that on 05/16/2021, S1 transported R1 for a community outing. While the vehicle was stopped, R1 unbuckled the seat belt and exited the vehicle. R1 "ran across the street" and was struck by Public Transportation. Facility staff initiated emergency services, paramedics arrived and transported R1 to the hospital.

Based on today's visit, a deficiency is being cited in the area evaluated and listed on the 809D according to California Code of Regulations, Title 22, Division 6. An immediate civil penalty in the amount of $500 is being assessed in accordance with the California Code of Regulations, Title 22.

An exit interview was conducted. A plan of correction has been developed and reviewed. As a COVID-19 precautionary measure, a copy of this report and appeal rights will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.