Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada completed a case management inspection while at the facility to conduct a required annual inspection . LPA met with Stacey Takara, DSP and ,DSP Elisha Peeler. who contacted Administrator, Amanda Britt, by phone. Administrator stated she was unable to attend the inspection since she was at a related facility. LPA completed required Department COVID-19 testing protocols, applied hand sanitizer before entering the facility and wore a surgical mask. Additionally, LPA was screened by staff upon entering the facility. LPA observed (4) clients at the start of the inspection.

The Department received an incident report on 11/8/22 for an incident involving client (C1) on 11/7/22. LPA interviewed staff (S1) who was present during the incident. S1 stated around 9:00 pm, client became upset and entered into behaviors when he was not able to have more sugar, specifically a soda. C1 began walking back and forth, visibly upset. S1 went to tell another staff (S2) that C1 was entering a behavior, and when S1 and S2 went to check on C1, C1 had walked away from the facility. Incident report states that C1 was out of sight for 10 minutes. Staff tried to convince C1 to return to the facility but he didn't want to. Staff then called non-emergency who responded at 10:00 pm approximately. C1 finally agreed to return to the facility after receiving some food from a fast food restaurant. C1 was given a PRN medication also upon returning to the facility and then went to his room. Staff attempted to verbally redirect C1 before he AWOL'd and followed C1 to ensure his safety and attempted to redirect him back to his home, per his behavior plan. C1 does not require 1:1 supervision. Documentation reviewed in C1's file shows that C1 is not conserved but cannot leave the facility unattended. Documentation also shows that C1 has a history of elopements, and Administrator stated that it has become worse over the last two months.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following (1) deficiency is cited on the 809-D page.

Exit interview. Copy of report and appeal rights provided.