Senior Care Records.

Facility Evaluation Report

234th Home, Carson11/22/2024Licence 198320206

Capacity4
Census4
Date signed11/22/2024 09:53:45 PM
The inspector’s account

On 11/22/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced Case Management visit at this facility. LPA was greeted by the Program Supervisor Ebeagbor Emuobonuvie. LPA explained to Emuobonuvie the visit is associated with an incident on 11/17/24.

On 11/17/24, Program Supervisor Ebeagbor Emuobonuvie reported an incident concerning client #1 (C1) and staff #1 (S1) alleging improper relationships between client and staff. LPA Dabuet interviewed the program supervisor staff #2 (S2) Ebeagbor Emuobonuvie and staff #3 (S3) regarding the incident involving (C1) and (S1). Interviews with client between client #1 (C1) and (S1) was found by (C1) sleeping on the job. Staff #1 was not available for an interview during the visit. Clients #2-#4 were out in the community and was not available for an interview.

A separate investigation is conducted by Harbor Regional Center Quality Assurance Department.

LPA Dabuet requested copies of (C1's) Physicians Report LIC 602 (dated: 07/05/23), Face Sheet Information, Applied Behavior Analysis Consultation Report (dated: 8/25/24).

An exit interview conducted with Ebeagbor Emuobonuvie, and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction