Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen arrived unannounced at facility for the purposes of conducting a case management, following up on multiple incident reports. LPA arrived at facility jointly with staff Kaylonie Reynolds. There is 5 clients in care and one staff at facility.

The department received 2 incident reports on 8/22/2023, the first occurring on 8/20/23 & the second on 8/21/2023. Incidents state client (C1) sustained injury while performing chores at the facility and refrained from informing staff until following day, as well as C1 eloped on 8/21/2023. Per updated reports received 8/28/2023 C1 has had 2 incidents of removing splint and was transported back to emergency room.

While conducting interviews today with Administrator Sherri Lott & staff, LPA learned on 8/21/2023 C1 tripped on cement steps while wearing bulky shoes and fractured right wrist while attempting to brace self from the fall. The following day (8/22/2023) C1 eloped from facility while staff (S1), walked away for a short period to use the facilities. C1 was not witnessed leaving but was located at Sheriff Substation and returned to facility by S2. When LPA arrived at facility there was only S1 providing care to 5 clients. Facility is being cited today for not providing adequate supervision to clients in care 80078(a).

Civil Penalties are being assessed in the amount of $250 due to a repeat citation issued for the same subsection in less than 12 months. First citation was given on 11/8/2022 & a second was given on 12/16/2022 with Complaint # 21-AS-20221214133305.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties . Exit Interview conducted.