Facility Evaluation Report
On 08/22/25, Licensing Program Analyst (LPA) Villegas conducted a subsequent case management visit in response to an unusual incident report that was submitted to CCLD on 07/25/25. The unusual incident report documented an incident that occurred on 07/25/25; regarding client #1 (C1), and staff #1 (S1). LPA met with Monique Weatherspoon as the purpose of the visit was explained.
The investigation consisted of the following: On 08/05/25 LPA obtained copies of the following for staff #1 (S1): resume, statement acknowledging requirement to report suspected abuse of dependent adults and elders (SOC 341), Direct support professional (DSP) job description, and copies of the following in-services: NOC proactive strategies for NOC shift, function of behavior, ABC contingencies, and documentation, Behavior management and staff duties, break log, shift duties, cell phones, documentation training, documentation and individualize behavior support plans, BCBA behavioral training, corrective actions, evaluations, terminations/ resignations, HCBS final rule, and corrective actions. On 08/05/25 LPA obtained copies of the following for client #1 (C1): face sheet, physicians report, needs and service plan/IPP, medication list, behavior report, and body check form dated 07/25/25. On 08/05/25 LPA conducted an interview with C1 and S2-S5. On 08/05/25 LPA unable to interview S1 as S1 is no longer employed at Person Centered Options II. On 08/22/25 LPA conducted an interview with Client 2-3 (C2-C3).
The investigation revealed the following: On 08/05/25 LPA conducted an interview with C1, C1 confirmed the incident that occurred on 07/07/25 and reported exiting the facility through the back gate which was opened. On 08/05/25 LPA conducted an interview with S2-S5, 3 of 4 staff interviewed reported not being on shift the day the incident occurred 07/07/25 and reported they have never left clients in care at the facility unsupervised. 1 of 4 staff interviewed confirmed incident that occurred on 07/07/25 and reported being made aware of the incident on 07/07/25 at 2am via telephone call from Licensee. 1 of 4 staff continued to
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction