Facility Evaluation Report

On 05/02/2024 at 09:32 AM, Licensing Program Analyst (LPA) Melody Brown met with Licensee/Administrator Sulaiman Durrani to initiate a Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.

During the facility visit on 05/02/2024, Licensing Program Analyst (LPA) Melody Brown requested Client #1 (C1) facility file to review documents and LPA Brown observed that C1 does not have Physician Report (LIC602)/Medical Assessment on C1’s facility file. Licensee/Administrator Durrani reported to LPA Brown that C1 does not have form LIC602 or Medical Assessment when C1 was placed at the facility by Regional Center of Orange County (RCOC). LPA Brown explained to Licensee/Administrator Durrani that deficiency will be issued as in Adult Residential Facility (ARF), the Licensee must obtain and keep on file documentation of the client’s medical assessment prior to accepting client into care. Licensee/Administrator Durrani verbalized understanding. Licensee/Administrator Durrani was able to obtain C1 Medical Assessment during the visit on 05/02/2024 at 11:05 AM and Licensee/Administrator Durrani reported that C1 was placed at the facility on 04/07/2024.

Moreover, during the quick tour of the facility, LPA Brown observed two (2) screwdrivers and one (1) thermometer with a sharp end in the kitchen cabinet, not locked and accessible to clients in care. Deficiency will be issued. Licensee/Administrator Durrani removed the two (2) screwdrivers and one (1) thermometer in the kitchen cabinet and requested Staff #2 (S2) to lock it.

An exit interview was conducted where this report (LIC809), LIC809D and Appeal Rights were discussed and provided to Licensee/Administrator Licensee/Administrator Sulaiman Durrani.