Senior Care Records.

Facility Evaluation Report

Nissi House, Whitewater11/25/2024Licence 331880771

Capacity4
Census4
Date signed11/25/2024 11:43:27 AM
The inspector’s account

On 11/25/2024 at 09:15 AM, Licensing Program Analyst (LPA) Melody Brown arrived at the facility unannounced to initiate a Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation. LPA Brown met with Client #2 (C2) and C2 reported to LPA Brown that there's no staff at the facility during the visit. LPA Brown contacted Licensee Cassandra Knighten and informed of the visit. Staff Cherron Jackson arrived at the facility at around 10:27 AM.

During the visit today, 11/25/2024, LPA Brown contacted Licensee Knighten and informed Licensee Knighten that there should be a staff at the facility to provide care and supervision for C2. LIcensee Knighten verbalilzed understanding. In addition, LPA Brown explained to staff Jackson that C2 cannot be left alone and without staff available to provide care and supervision. Also, LPA Brown informed staff Jackson that deficiency will be issued with $500.00 immediate Civil Penalty is assessed as this citation is a zero tolerance and poses immediate risk to clients in care. LPA Brown also added that an informal meeting will be scheduled at the regional office.

An exit interview was conducted with staff Cherron Jackson and a copy of this report (LIC809), LIC 809D, LIC421IM and Appeal Rights were discussed and provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction