Facility Evaluation Report

Licensing Program Analyst (LPA) Elizabeth Irra conducted a Case Management visit to issue a citation. LPA met with John Alfred and discussed the purpose of today’s visit.

During this visit, LPA obtained a copy of the staff and client rosters. LPA addressed an incident which occurred on 04/23/24 involving C-1 and C-2. C-1 no longer resides at this facility (moved out 04/25/24). During an investigation regarding C-1 and C-2, Investigator Laura Garcia (CCLD-Investigation Branch) obtained a copy of the Corrective Action Plan (CAP) from San Gabriel Pomona Regional Center that was issued to this facility due to staff failing to provide immediate medical attention to C-1. Per CAP, on 04/23/24, C-1 and C-2 were involved in a physical altercation in which injuries were sustained and facility staff failed to provide immediate medical care. Per CAP, C-1 was taken to hospital Emergency Room the following day (04/24/24) in which C-1 was diagnosed with a nasal fracture and fractured right eye bone.

Deficiency is being cited according to California Code of Regulations, Title 22. Refer to LIC 9099D.

Exit interview conducted, appeal rights and this report was provided to John Alfred.