Facility Evaluation Report

On 04/25/2024 at 145 PM, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a collateral visit. LPA Lee met with direct care staff Myla Gane and Christopher Benitez and explained the purpose of the visit. LPA Lee spoke with facility administrator Rowena Villanueva over the phone and explained the purpose of the visit. Administrator stated that staff member could sign this report in her absence.

Upon arrival client 1 (C1) was not present in the home and was informed to LPA Lee by the care staff that (C1) usually comes back from day program around 2:30 PM. At approximately 2:50 PM (C1) arrived at the facility. LPA Lee conducted interviews with the administrator and with (C1). During today’s visit, LPA Lee requested the following copies to help with the investigation (C1):

· IPP Individual Program Plan for 11/03/2023

· LIC 621 Client Personal Property and Valuables

· Windsor Elk Grove Care and Rehabilitation Order Summary Report

· After Summary from Kaiser for 10/25/2023

No deficiencies were cited during this visit. An exit interview was held, and a copy of this report was left with Schumacher.