Facility Evaluation Report

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to the facility to cite for a case management deficiencies, on a visit regarding the health, safety, and welfare of residents in care. RIV RO, Community Care Licensing received an SIR on September 19, 2023 for Benson House #10, in which was reported, that an ex-staff member (S1) kissed a client and provided marijuana to resident 1 (R1). LPA met with the Direct Support Person, Jaxon Rucker and informed him of the purpose of the visit. LPA was informed that four (4) residents currently reside at this facility, with a capacity of four (4). There were two (2) staff on duty and two (2) residents were present at facility during the time of the visit. The LPA spoke to the Administrator, Erica Mata over the phone regarding the case management deficiency.

LPA toured the facility and observed all facility utilities to be on and operating without issues. Food supply is sufficient. There is no immediate concern for residents in care.

There are two (2) deficiencies being cited, per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted, a copy of this report, the 809-D, an 811, and appeal rights were provided to the Direct Support Person, Jaxon Rucker.