Facility Evaluation Report

Licensing Program Analyst (LPA) Carla Fernandes-Goes, LPA Victoria Willis, Licensing Program Manager (LPM) Bethany Moellers, Regional Manager (RM) Carla Nuti-Martinez, Catherine Knight Assistant Deputy Director for Department of Developmental Services (DDS) , Alison Giannini Behavior Specialist II DDS, Pablo Castro Quality Assurance Specialist GGRC, Amanda Pyle GGRC Director, Hayley Garr BCBA (Board Certified Behavior Analyst - Consultant) and Christina Youmbi Consult conducted an office visit and met with Priscilla Kimbo Licensee and Angeline Kimbo Administrator. The purpose of the office meeting was to discuss the recent AWOL of client in care identified at C1 on LIC 811 and issue citations related to violations of Regulation on a Case Management visit and close complaints pending for Shalamo Home # 216803917 and Vilon Home # 496803911.

The facility self-reported an incident that occurred on March 17, 2022 when AM shift staff arrived to facility to relieve NOC shift staff, upon their arrival they conducted room checks on the three (3) of four (3) clients in care. One (1) or three (3) clients, C1 was not present in their room. Staff searched the buildings and grounds for C1 and were not able to locate client. Staff contacted Novato Police Department (NPD) to report C1 missing. Per the Special Incident Report (SIR) submitted by licensee, two (2) facility staff went to downtown Novato to search for C1. An individual in the community led staff to C1, who was found in a tent in a homeless encampment. C1 refused to exit the tent. C1 eventually came out of the tent and moved to a busy roadway where they dropped in the middle of the road and would not move. Per the incident report facility staff attempted to verbally redirect C1, staff placed flares in the roadway and redirected traffic as C1 sat in the middle of the intersection. Novato PD arrived on scene and per the Police Report, at approximately 12:30p Officers physically removed C1 from the roadway.