Facility Evaluation Report

On October 13, 2025, 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. Administrator (AD) Leilani Whitfield was notified via telephone and later arrived to assist with the inspection.

LPA is following up on a self-reported Unusual Incident/Injury Report (UIIR) that was received by the Orange County Regional Office (OCRO) on October 7, 2025. The UIIR described that October 5, 2025, at approximately 10:27 PM, a nocturnal staff arrived at the facility and discovered that there were no staff present at the facility. It further described that after a review of the timekeeping system, it was confirmed that Staff #1 (S1) clocked out of the facility at 9:47 PM, leaving the clients unsupervised for approximately forty minutes.

During today's visit, LPA accompanied by the AD, conducted a tour of the physical plant. No health or safety concerns were observed. LPA reviewed and collected pertinent documents to the incident such as staff training records. LPA additionally conducted three staff interviews. Three out of three staff interviews conducted confirmed the information on the UIIR was accurate and that clients were left unsupervised for approximately forty minutes on October 5, 2025.

Based on the information gathered during today's visit, a deficiency is being cited on the attached LIC809-D. Civil penalties are being assessed in a total amount of $500.00. An exit interview was conducted with Administrator Leilani Whitfield. A copy of the report and Appeal Rights were provided.