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 were 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. The time frame for a POC inspection had passed, therefore the deficiencies were re-cited on 11/06/2024 with a new POC due date of 11/07/2024. The following was observed during the time of the visit:

The following deficiencies were corrected by the POC due date and were corrected at the time of the visit:

Deficiency was cited under California Code of Regulations Title 22 82072(a)(1) Personal Rights on 11/06/2024. 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 and provide a training date by 11/07/2024. The administrator agreed to send documentation of training conducted with a behaviorist by the POC due date 11/07/2024. The administrator stated they would terminate S1 and send paperwork of the termination and disassociation by POC due date 11/07/2024.

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 11/07/2024. The administrator stated they would terminate S1 and paperwork of termination and disassociation would be sent by POC due date 11/07/2024.