Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit to the facility to conduct a Plan of Correction (POC) Visit. LPA met with Administrator, Nkechi Anwuli who was informed of the purpose of the visit.

The purpose of this report is to document the POC’s that was agreed upon on 9/19/2024 for complaint control number 18-AS-20240809154836. This report also documents POC’s that were agreed upon on 08/30/2024 for a Case Management visit and investigation.

Deficiency was cited under California Code of Regulations Title 22 82072(a)(1) Personal Rights on 09/19/2024. Based on interviews and records review Staff #1 (S1) yelled at clients in care. POC was to renew Crisis Prevention and Intervention (CPI) training for all staff in October and send documentation to the LPA once completed. The administrator agreed to send documentation of training conducted with a behaviorist by the POC due date 09/20/2024. The administrator stated they would terminate S1 and paperwork of the termination would be sent by 09/20/2024 to the LPA.

Deficiency was cited under California Code of Regulations Title 22 82072(a)(3) Personal Rights on 09/19/2024. Based on interviews and records review S1 hit and threatened clients in care. POC was to send documentation on training conducted on personal rights by the POC due date of 09/20/2024. The administrator agreed to renew CPI training for all staff in October and send documented to the LPA once completed. The administrator stated they would terminate S1 and paperwork of termination would be sent by 09/20/2024.