Facility Evaluation Report

On 06/18/2024 at 09:17 AM, Licensing Program Analyst (LPA) Melody Brown met with Staff #2 (S2) to initiate a Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.

During the facility visit on 06/18/2024, 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. Administrator Cherron Jackson arrived and LPA Brown informed Administrator Jackson that C1 does not have Medical Assessment or Physician Report (LIC602) in C1 facility file. LPA Brown explained to Administrator Jackson and S2 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. Administrator Jackson and S2 verbalized understanding. Licensee Cassandra Knighten and House Manager Nadiyah Singleton arrived during the visit and reported to LPA Brown that they will provide a copy of C1 Medical Assessment once it's available. Also Licensee Knighten and House Manager Singleton reported that C1 was placed at the facility on 06/30/2020 by Inland Regional Center (IRC).

Moreover, during the quick tour of the facility, LPA Brown observed five (5) knives in the kitchen drawer and one (1) knife in the kitchen sink, not locked and accessible to clients in care. Deficiency will be issued. Also, LPA Brown observed multiple bottles of chemicals under the kitchen sink not locked and accessible to clients in care. Deficiency will be issued. To add to that, client medications were observed not locked and accessible to clients in care, deficiency will be issued.