Facility Evaluation Report

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management. LPA was greeted, granted entry by staff, and explained the reason for the visit. Staff immediately called Administrator (AD) Joshua Estrevillo via telephone.

The purpose of today's visit was to conduct a Case Management visit to discuss an email sent to LPA Haley regarding a potential client (C1) on a 7 day trial. LPA Haley was informed there was an Unusual Incident Report (LIC624) sent to the Orange County Adult and Senior Care Regional Office regarding this incident as well.

LPA Haley reviewed the referral packet and was provided copies of C1's Physicians report, and medical documents.

LPA Haley interviewed AD Estrevillo via telephone to gather additional details on the incident involving C1.

Further, LPA Haley walked through the facility with staff and observed three clients present during the visit. Clients were observed in the back yard participating in activities at the tables under the fan.

No deficiencies are being cited during today's Case Management visit. An exit interview was conducted and a copy of this report and LIC 811 was provided.