Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a case management to issue a deficiency in response to the complaint #28-AS-20230602135820. LPA met with Staff, Amber Torres and explained the reason for this visit.

During the complaint investigation, it was determined that Staff #1 (S1) did not utilize appropriate CPI behavior intervention techniques while handling Client #1 (C1). On 6/1/23, C1 became aggressive towards S1 and physically attacked staff. S1 acknowledged biting C1 in self-defense in order to escape from client. LPA obtained a copy of the San Gabriel/Pomona Regional Center Corrective Action Plan (CAP) and it indicated that S1 bit C1 in order for C1 to release his/her grip of staff’s hair. In addition, the CAP noted that “Biting a resident is not authorized or permissible intervention in the utilization of the CPI behavior intervention technique.” Therefore, it is determined S1 failed to utilize the instructional methods which are specified in the facility’s program design.

A deficiency is being issued today. An exit interview was held and a copy of this report along with appeal rights were given to Ms. Torres.