Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez conducted an unannounced Case Management inspection in conjunction with investigation into complaint number 22-AS-20240313160913. LPA met with Assistant Administrator (AAD) Arnold Andal and explained the purpose of the inspection. Administrator (AD) Noel Villegas joined by phone.

During the course of the investigation, deficiencies were observed. During their interview, AD reported having little knowledge of what was going on in their six facilities and admitted to leaving care staff in charge of the facilities while they work from home. AD was unable to provide daily logs of the clients and care staff are not documenting change of conditions with the clients or initiating contact with their physicians. During their interview, Staff 1 (S1) stated Client 1 (C1) slept during the day and be awake all night, however C1’s physician was not notified of the change in condition from March 2024 until May 2024, and the change of condition was not documented. Per S1, on May 28, 2024, C1’s physician adjusted their medication to keep C1 from sleeping all day. S1 stated they had not requested that C1’s physician adjust C1’s medication following the change in condition as they believed AD should complete this task.

Based on staff interview and records review, deficiencies are being cited per Title 22 Division 6 of the California code of regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.