Facility Evaluation Report

On February 9, 2024, Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility at 2:00pm to conduct a Case Management Inspection regarding an Unusual Incident Report received by Community Care Licensing (CCL) on February 8, 2024. LPA was greeted and granted entry by DSP, Eloida Quimbao. LPA stated the reason for the inspection. Assistant Administrator Michael San Diego joined the inspection at approximately 2:15pm.

LPA conducted a Health and Safety check. Clients were observed to be watching television and eating snacks in the living room or spending time in their own room. One client was noted to be at Day Program. LPA did not observe any areas of concern during the Health and Safety Check.

LPA requested copies of documents from the file of the client associated with the SIR. These documents include: Face Sheet, Pre-Placement Information, Admission Agreement, two Physician's Reports, IPP, Behaviorist Report, and the Facility's quarterly report on the overall well being of the client.

An exit interview was conducted with Assistant Administrator Michael San Diego and a copy of this report was provided to the facility.