Facility Evaluation Report

On 03/27/24 Licensing program analyst (LPA) Villegas conducted an unannounced case management visit to follow up on incident that occurred on 03/15/24 and was reported to the department. LPA met with Program Director (PD) Lauren Gallardo as the purpose of todays visit was explained.

The case management visit consisted of the following: On 03/27/24 LPA obtained copies of the staff and client roster and obtained the following documents for client #1-2 (C1-C2) Facesheets, documentation of communication regarding behaviors, Harbor regional center IPPs, behavior support document for C2, and copies of incident reports regarding C1-C2. LPA also obtained copies of the following for staff #1-3 (S1-S3); zero tolerance client abuse policy, statement acknowledging requirement to report suspected abuse of dependent adults and elders, client abuse statement form, CPI training card for S2 and a copy of in-service training dated 07/31/2023. On 03/27/24 LPA interviewed PD, S2, S4, S5 and conducted interviews via telephone with C1-C2.

As part of a health and safety check LPA conducted a tour of the facility, there were no immediate health and safety concerns.

Exit interview conducted with Program Director Lauren Gallardo, and a copy of this report was provided.