Facility Evaluation Report

On April 14, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Incident inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Operations Manager (OM) Ryan Reifsnyder was notified via telephone and later arrived to assist with the inspection.

LPA is following up on a self reported incident report that was received by the Orange County Regional Office on April 13, 2026, regarding Client #1 (C1) leaving the facility without staff supervision. The incident report states that on April 5, 2026, at 11:58 AM, staff noticed that C1 was not in his bedroom or in the common areas during routine checks. It then states that staff located C1 and returned him back on site at 12:08 PM, therefore leaving C1 without staff supervision for approximately ten minutes.

On today's visit, LPA observed six clients in care. LPA, accompanied by OM, conducted a tour of the physical plant. LPA observed the facility to be clear of any obstructions and hazards. No health or safety concerns were observed. LPA conducted one staff interview. LPA additionally reviewed and obtained client records. The one staff interviewed conducted confirmed that the incident report that was received by the Orange County Regional Office was accurate and that C1 was left without staff supervision for approximately ten minutes. Additionally, the staff stated that C1 did not have any injuries as a result of the incident.

Based on the information gathered during today's visit, a deficiency is being cited on the attached LIC809-D page. An immediate civil penalty in the amount of $500.00 is also being issued for absence of supervision. An exit interview was conducted with Operations Manager Ryan Reifsynder. A copy of the report and Appeal Rights were provided.