Facility Evaluation Report

Licensing Program Analyst (LPA) Galarza conducted an unannounced Case Management - Other visit as a result of the Department of Developmental Services (DDS) semiannual report findings that indicated a significant number of staff are out of compliance with initial and annual emergency intervention training requirements. The purpose of the visit was explained to Administrator Eduardo Alvarez and Assistant Administrator Adrianna Harbin.

The facility is an Enhanced Behavioral Support Home (EBSH) with a Certificate of Program Approval from the Department of Developmental Services. In addition to California Code of Regulations, Title 22 requirements the facility program plan shall fulfill the requirements of California Code of Regulations, Title 17.

In addition to any other required training, each direct care staff person shall have a minimum of 16 hours

of emergency intervention training per Section 1567.64 of the Health and Safety Code. The licensee shall ensure that a direct care staff person renews the emergency intervention training annually.

1. LPA conducted a physical plant tour of the facility. No health and safety concerns were addressed.

2. Reviewed and obtained 27 copies of staff emergency intervention CPI training cards.

3. Reviewed Records of Client's/Resident's Safeguarded Cash Resources for residents (R1-R3).

4. Reviewed and obtained a copy of Surety Bond. The Surety Bond is for $1,000.00. The cash on-site exceeded

the limit of the bond. Administrator was advised to refer to Title 22, Division 6, Chapter 1, Article 03 80025

During the visit, 2 shifts were observed; AM shift [6AM- 2PM] and PM shift [2PM - 10 PM]. The AM shift had 9 staff +1 lead staff. The PM shift has 9 staff + 1 lead staff. Total number of staff on site per shift was ten (10). The facility has a total of 44 staff.

Exit interview was held with Administrator Eduardo Alvarez and Assistant Administrator Christopher Madrigal. A copy of the report and appeal rights were provided.