Facility Evaluation Report

Licensing Program Analyst (LPA) Jey Cardenas completed a case management visit to the above facility. During a site visit regarding a complaint investigation control number 11-AS-2022022508444 . LPA observed deficiencies that is non-related to the complaint investigation visit conducted on 7/12/22. The following was discussed with direct care staff.

LPA observed metal foldable chairs to be full of dust and cobwebs, one chair's back rest was broken and seemed to be falling off from the frame and sticking out. LPA observed that client backyard patio seats are wood and framed, cushion were not on the patio seats. Staff states cushions are available however are in the garage. LPA observed one client sitting on the patio seat without a cushion.

LPA observed C1 bed didn't have a frame and the bed box and mattress were placed on the floor. Staff indicates C1 breaks the bed frames.

LPA observed that C1 has a five drawer cabinet for clothes, one drawer was missing and one drawer was hanging low and difficult to pull out.

Per California Code of Regulations, Title 22 the following deficiencies were observed and cited: (Refer to LIC 809-D)

Exit interview conducted, appeal rights issued, and a copy of the report was provided.