Facility Evaluation Report

Licensing Program Analysts (LPAs) Joe Katrdzhyan and Luis Mora conducted an unannounced case management visit to this facility. Upon arriving at the facility, LPAs met with Assistant Administrator / Alexander Solorio and were later joined by the Executive Director / Kandice Vergara-Williams who assisted with the visit. The purpose of today's visit is to review the file of Resident #1 and tour the physical plant to ensure residents are not smoking marijuana inside the facility.

At 12:15PM, LPA Katrdzhyan toured the physical plant (inside/outside) with the assistance of the Executive Director and did not observe residents smoking marijuana inside the facility. Also, there was no odor of marijuana present inside/outside of the facility premises.

After reviewing the file of R1, LPA Katrdzhyan observed that at the time of admission, facility staff did not conduct a proper assessment of R1 as the Care Assessment/Evaluation, Functional Assessment, Mental Status Questionnaire and the Resident Appraisal were incomplete. Most of the answers to the questions listed on the forms were left blank.

Also, the Unusual Incident/Injury Reports were reviewed for R1 and it was determined that R1's behaviors changed between period April of 2021 through September of 2021 and facility staff did not update the Appraisal/Needs and Services Plan for R1 addressing the current changes . R1 had multiple incidents of not following the facility Guest Policy by sneaking unknown male individuals from the street into her room. R1 was involved in theft of using a card belonging to another resident and making unauthorized purchases. R1 was also involved in multiple incidents of selling drugs to other residents inside the facility and getting into physical and verbal altercations with other residents and staff. R1 is in the process of being evicted from the facility for being non-compliant with facility house rules.

The following deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6 (refer to 809D)

An exit interview was conducted and a copy of this report was provided to the Executive Director along with the Appeals Rights.