Facility Evaluation Report

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by a staff member. LPA explained the purpose of the visit was to investigate Complaint #31-AS-20250515145352 and speak to the Licensee, Wilda Tillman regarding an incident report dated 5/13/2025. LPA toured the facility at 11:00 am until 11:20 am.

LPA Spaeth spoke to Wilda Tillman at 1:45 pm regarding the incident report which stated a staff member left the facility on 5/12/2025 at approximately 1:37 am due to a staff member not reporting to work at the facility. The clients were left alone without a staff member present at the facility. At approximately 4:20 am, a client called staff member Wayne White and reported the situation. The lead staff member was called and immediately reported to the facility at 5:50 am.

Based upon the information provided to LPA Spaeth regarding the incident, the following deficiency is issued. (See 809-D).

In addition to the citation, a $500 immediate civil penalty is issued due to absence of supervision based upon Health & Safety Code 1548(c)(3)

Exit interview conducted, appeal rights discussed, and a copy of the report was given.