Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced plan of correction visit at the facility regarding deficiencies noted on 9/26/23. LPA met with Shahbaz Baig and explained the reason of the visit.

On 9/26/23 LPA Flores conducted a case management visit to note deficiencies observed during a complaint investigation visit. The following was cited:

Section 85068(b)(2) Admission Agreement: On 9/26/23 LPA reviewed clients files and observed that the admission agreement did not notify the clients of random drug testing at the facility. House Rules do not notify about random drug test to the clients, and/or the plan of operation reviewed does not have a plan in place to randomly screen clients for drugs. Per interviews conducted with staff and clients and incident reports reviewed the facility conducted random drug test on client #1(C1). Plan of correction(POC) for the deficiency was due on 9/27/23. LPA did not received a POC for the deficiency as of 10/23/23. During this visit administrator stated, POC was faxed to the department on 9/27/23 and provided a copy of transmitting sheet which notes documents were faxed on 9/27/23.

Exit interview was conducted with and a copy of this report, LIC 809D, and appeal rights were provided.