Facility Evaluation Report

On 04/26/24 Licensing program analyst (LPA) Villegas conducted a case management visit in response to special incident report submitted to CCLD on 04/23/24 for incident occurring on 04/22/24; regarding client #1 (C1) assaulting client #2 (C2). During todays' visit LPA met in person with Licensee/Administrator

Robyn M. Thompson, South central regional center service coordinator, behaviorist, C1, C1's conservator (W1), and day program Program Director (PD) who participated via zoom. Client #1 requires ASL, South Central Regional Center Service Coordinator know ASL.

During today's visit LPA Villegas Conducted a health and safety visit which consisted of the following: LPA toured physical plant. obtained copies of client #1's (Facesheet, physicians report, med list, IPP, behavior plan, incident reports for the last 6 months if any), client roster, and staff roster. LPA also requested the following documents for staff #1 (S1); LIC 501, SOC 341(a),first aide certification, and CPI training. All documents to be scanned and emailed to LPA by 04/29/2024, Lizeth.villegas@dss.ca.gov.

Due to insufficient information available at this time, the above allegations need further follow up.

No immediate health and safety issues were observed.