Facility Evaluation Report

Licensing Program Analyst (LPA) Ana Soto initiated a case management visit to the facility listed above. Today’s case management was conducted with Kenneth Beck, House Manager.

The facility submitted an SIR dated 05/02/22 to CCLD. Reporting that C1 set C1-self on fire. He was in the patio area, was seen with a playing with a lighter. C1 put the lighter in his shirt pocket and began to have a seizure. C1 shirt caught on fire and burned on C1 chest and left hip. C1 received 2 degree burns and was taken to the Harbor UCLA Hopsital burn unit. On 05/02/22, LPA interviewed Administrator. On 05/12/22, LPA interviewed house manager and Assistant Administrator. C1 still remains in the hospital and doing good. C1 will return to facility was cleared by physician. C1 belongs to the Tele-care program and they will be relocating C1 to a facility with a higher level of care. C1 will not be returning to facility.

An exit interview was conducted with Kenneth Beck, House Manager and a copy of report was provided.