Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez and Regional Center Quality Assurance Coordinator (QAC) Carole Suzuki made an unannounced case management visit for the purpose of conducting a health and safety inspection. LPA and QAC were greeted and granted entry by Staff Julita Paulino. Assistant Administrator (AAD) Maximilian “Edgar” Timothy arrived at the facility at 4:33 p.m., and the reason for the visit was discussed.

LPA, QAC, and AAD conducted a toured of the facility and observed the facility has electricity, water, and gas. Water temperature tested at 113.3 degrees Fahrenheit. Client bedrooms were observed to have the required furnishings. Certificate of liability insurance was observed to be posted and current. The kitchen was observed to be clean and organized and a 2-day supply of perishable and a 7-day supply of non-perishable food was observed. Medications are kept locked in a cabinet and knives are kept locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins, and disinfects were observed to be inaccessible to clients.

LPA reviewed a current copy of staff schedule, which did not include specific hours and times. An LIC500 was not available for review. Interviews were conducted with three of three staff present. During their interview, Staff 1 (S1) stated their work schedule is Monday thru Friday from 6 a.m. – 9 a.m. and Monday thru Friday 2 p.m. – 7 p.m. During their interview, Staff 2 (S2) stated their work schedule is Saturday thru Wednesday 6 a.m. – 9 a.m. and Saturday thru Wednesday 2 p.m. – 7 p.m. Staff 3 (S3) stated their work schedule is Monday thru Friday 7 p.m. – 11 p.m. and Saturday thru Sunday 7 a.m. – 7 p.m. S3 also stated they are the on-call overnight staff. Per S3, they receive a salary and therefore work a 48-hour shift over the weekend. Per Regional Center requirements, overnight staff must be awake.

Based on observations made during today’s inspection, one deficiency is 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 provided at the end of the inspection.