Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with Doretha Wilhite for a case management visit. The purpose of the case management visit is to address deficiencies observed during the course of investigation for complaint # 31-AS-20240523125725. The deficiencies were not alleged but related to the complaint. Administrator was not able to meet with LPA and assigned House Manager (HM) Doretha Wilhite to sign the report. Entrance interview conducted.

On 05/28/24 LPA Casillas was made aware that on 05/15/24 Client #1 (C1) did not have proper care and supervision causing C1 to end up wandering alone on the 14 freeway and subsequently on a psychiatric hold. During the investigation it was revealed that 2:1 vendor Brea 360 did not have sufficient staff to provide C1’s 2:1 coverage, only providing 1:1 staff. It was also discovered via an email provided to LPA by House Manager (HM) Vashan Bobney that it was relayed by HM to Brea 360 that the facility would not be able to provide additional staff due to not being paid for additional 2:1 coverage for C1. LPA explained to current HM that when there is not enough staff provided by a vendor, it is the facilities responsibility to provide additional staff to cover client needs as described on needs and services plan. Based on the information provided a deficiency and civil penalty will be issued for a repeat violation.

Exit interview conducted. Appeal Rights discussed and issued. Copy of report given to HM.