Facility Evaluation Report

This case management visit was conducted in conjunction with Complaint investigation to address the deficiencies unrelated to the complaint # 31-AS-20240222132032 .

During initial complaint visit on 02/29/2024, LPA Alvizar-Ettima noted the following Title 22 deficiencies.

1. During inspection LPA observed broken front window.

2. CCLD was not informed about the incident involving Client (C1) & Staff #1 (S1).

3. The Administrator is out on leave and no notification was provided to inform who is assisting the Administrator.

At the time of this visit the broke window was fixed and LPA advised the Administrators designee to ensure that physical plant is always in good repair. No citations will be issued regarding physical plant.

Based on the information obtained during initial visit, the following citations were issued and recorded on LIC809D.

Exit interview was conducted and a copy of report was issued. Administrator designee granted authorization to DSP, Brown to sign the report because she had attend a meeting away from this facility.