Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon made an unannounced visit to address a separate incident at the time of the visit. LPA upon arrival was greeted by a contractor from Proficient Builders. LPA Calderon called Administrator Jollie Ramos and was not able to contact Admin. At 11:15am, Staff #1 (S1) and Staff #2 (S2) arrived at the facility and assisted LPA with visit. During visit, LPA discovered there was a death of a client that occurred on September 2023 and observed construction was in process inside the home.

During today's visit LPA collected resident an staff roster. LPA interviewed staff #1- staff #4 (S1-S4), Client #2 (C2), interviewed: Guest #1 (G1), Contractor, Property Manager and Project Manager from Proficient Builders. LPA attempt to interview facility assigned Quality Assurance and Service Coordinator from San Gabriel/ Pomona Regional Center via telephone call. LPA emailed San Gabriel/ Pomona Regional Center Quality Assurance and Service Coordinator to notify construction at the above facility, contact was not successful. LPA called caseload LPA Bonnie Tao and LPM Fernando Fierros to discuss the above issues.

Construction and death report was not reported to Licensing, LPA Tao verified no letter / email / Death Report or Special Incident Report (SIR) was provided to LPA Tao.

At 10:45am LPA arrived at the facility and no staff or clients were present. LPA noted construction tools in the backyard and materials. LPA interviewed contractor, whom stated construction start date was on 9/18/23 and approx. end date 10/18/23. LPA interviewed S1, S2 and S3 who were unaware if Administrator Jollie Ramos reported construction. S1, S2 and S3 informed LPA, they do not handle reporting requirements. LPA unable to communicate with Administrator. LPA Calderon and LPA Tap unaware of construction occurring at the above facility. No documentation's were available during time of visit.