Senior Care Records.

Facility Evaluation Report

Dignity Home Center INC. II, West Covina12/21/2023Licence 198603650

Capacity4
Census4
Date signed12/21/2023 04:02:50 PM
The inspector’s account

On today's date, Licensing Program Analyst (LPA) Wong conducted a Case Management-Incident visit for an incident report received by CCLD on 12/14/23. San Gabriel Pomona Regional Center Service Coordinator Sally Cano faxed the Special Incident Report and SOC 341 to the CCLD office as indicated on reporting requirements.

The incident was reported that Client#1(C1) shared the information to the program manager from Get Safe and reported Client#1 (C1) met up with a guy that met online in October, 2023 and after the incident, C1 was in pain and bleeding and not sure if its consensual or not but C1 has no contact with the person anymore and only met once.

LPA spoke with the administrator and stated all clients in the facility have been received safety training once a week from Get Safe and CBEM. Facility staff also tried to convince and encourage clients not to go out at night time but it's client's personal right. LPA reviewed C1's IPP and indicated that C1 is able to go out without any supervision.

No deficiencies cited during today's visit.

Exit interview conducted with Administrator DUROMOLA, ADEBOWALE EVELYN and a copy of the report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction