Facility Evaluation Report

Licensing Program Analyst Michelle Reed arrived at the facility to conduct an Annual visit. Upon arrival, LPA met with Gabriel Negrete and Brenice Betancourt. Administrator Yvette Doran was contacted and arrived a short time after LPA. During the visit, LPA also conducted this Case Management visit regarding the facility License and an unusual incident report that was sent to Licensing on 4/12/22.

On 4/5/22 at approximately 5:04pm Client #1 eloped from the facility. Staff followed him out the door and Administrator Yvette Doran were called. C1 was followed by Ms. Doran and staff. C1 would not return to the return to the facility. The Santa Ana police were called and assisted staff to return C1 to the facility.

On 10/6/21, during a complaint visit, LPA noted that the facility Corporation had been changed and that UNITED CEREBRAL PALSY/SPASTIC CHILDREN'S ET AL is no longer the Licensee. The new Licensee is Momentum. At that time LPA informed Momentum Chief Operations Officer Amy Simones that a new License would need to be obtained. As of today's date, no proof of application has been received.

An exit interview was conducted, appeal rights discussed and a copy of this report was provided to Brenice Betancourt.