Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez conducted this case management visit to follow up on an incident report that was self reported on January 12, 2024. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Mariles Borja, Administrator and explain the nature of the visit. Incident was self reported for client (C1) incident on January 8, 2024.

During today’s visit LPA completed a review of client records and spoke to the Administrator for details of the incident. On January 8, 2024 C1 requested permission to go into the community from January 8-10, 2024. C1 did not return to the facility on the indicated date. Staff called C1 to obtain information on their return, upon no answer staff called Garden Grove Police Department and filed a report. On January 15, 2024 C1 returned to the facility and staff called Garden Grove Police Department with the update. Per records review C1 does not have a responsible party and makes their own decision. On January 15, 2024 upon C1’s return indicated they were moving out. C1 signed a voluntary consent form indicating they were moving out to live with their partner. C1 was discharged and moved out on that date from the facility.

Based on this inspection, deficiencies were observed at this time in the areas evaluated per Title 22 Division 6 of the California Code of Regulations . See LIC 809-D for deficiencies.

This report was reviewed with Executive Director and a copy of this LIC809, LIC809-D report was provided and left at facility. Appeal rights reviewed, and a copy provided.