Facility Evaluation Report

On 02/07/2025 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown met with staff David DiMauro Sr. to initiate a Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation.

During the facility visit today, 02/07/2025, LP) Melody Brown requested Client #1 (C1) facility file to review documents and LPA Brown observed that C1 does not have Medical Assessment/Physician Report (LIC602) on C1’s facility file. Licensee/Administrator DiMauro Jr. reported to LPA Brown that C1 does not have Medical Assessment or form LIC602 when C1 was placed at the facility by Inland Regional Center on 11/22/2024. LPA Brown explained to Licensee/Administrator DiMauro Jr. 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. Licensee/Administrator DiMauro Jr. verbalized understanding. In addition, Licensee/Administrator DiMauro Jr. informed LPA Brown that Client #2 (C2) and Client #3 (C3) were placed at the facility by IRC as well without Medical Assessment/Physician Report (LIC602). Documents review confirmed that C2 was placed by IRC at the facility on 11/7/2024 without Medical Assessment or form LIC602 and C3 was placed by IRC at the facility on 01/21/2025 without Medical Assessment or form LIC602. In addition, LPA Brown noted during documents review that C1 does not have the required Admission Agreement maintained in C1 file. Deficiency will be issued.

Moreover, during the quick tour of the facility, LPA Brown observed one (1) sharp scissor, one (1) sharp wine opener, and seven (7) sharp corn cob holder not locked and accessible to clients in care. Deficiency will be issued. Staff DiMauro Sr. immediately locked the one (1) sharp scissor, one (1) sharp wine opener, and seven (7) sharp corn cob holder during the visit.