Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho continued an unannounced Case-Management visit after delivering the findings in connection to Complaint Control Number: 22-AS-20230721111639. The purpose of this visit is to issue deficiencies that were discovered during the investigation mentioned above.

LPA met with Licensee/Administrator Cleopatra Cachuela and Administrator Hernando Liwanag and explained the reason for the visit. On today’s date, LPA observed zero clients and one staff during the visit. The investigation mentioned above revealed that the facility did not meet the Reporting Requirements as mandated per the Title 22 80061:

1. C1 refusing medications on June 5, 6, and 13, 2023.

2. Renovations that began approximately July of 2023

3. Client #1 (C1) eloped three times on three different days: July 18, 2023, July 19, 2023, and July 20, 2023

In addition, Staff #3 (S3) did not immediately telephone emergency response (9-1-1) which resulted in the death of C2. The investigation also revealed that 1:1 Program Support was not in place as required per the Individual Program Plan (IPP) dated May 15, 2023, as one out of the three facility staff indicated that C1 had expressed feeling bored.

Therefore, deficiencies are being cited as per the Title 22, Division 6, Chapter 6 of the California Code of Regulations. See the attached LIC809-Ds.

An exit interview was conducted with Licensee/Administrator Cleopatra Cachuela and Administrator Hernando Liwanag, and a copy of this report including the LIC809Ds, LIC811s, and the appeal rights were provided at the end of the visit.