Facility Evaluation Report

On 8/9/23 at approximately 10:15am Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived at the facility unannounced to conduct a case management visit for deficiencies. LPAs Jensen and Fain met with Administrator Rebecca Hammett and explained the purpose of today's visit.

The Department received notification from the Regional Center that Resident 1 (R1) was taken to the hospital and discharged same day on 6/24/23. The resident was not accepted back in to the facility until 6/26/23. Based on an incident report received by the Regional Center (UCI # 5034043), on 6/24/23 R1 was taken to the hospital at approximately 7pm for evaluation. At 8:48pm, R1 was cleared to return home however the Administrator stated she was not willing to accept R1 back in to the facility due to concerns for the safety of care staff and other clients residing in the home. On 6/27/23 a service coordinator/facility liaison conducted an unannounced visit to the facility and verified with staff 1 (S1) that R1 was accepted back in to the home on 6/26/23. The Regional Center determined that according to R1's Individual Program Plan dated 3/6/23, R1's schedule of supports include a provision requiring staff to follow R1 to the Emergency Room and advocate on R1's behalf. It also requires staff to remain with R1 until R1 is either medically discharged or admitted to the hospital. On 6/24/23 staff did not accompany R1 to the Emergency Room to advocate on their behalf or remain with R1 until discharged.

As a result of this incident deficiencies are being cited for violations of the California Code of Regulations (CCR), Title 22, Division 6. In addition, a civil penalty is being assessed for repeat violations relating to reporting requirements.

An exit interview was conducted and a copy of this report and appeal rights were provided.