Facility Evaluation Report

On 4/2/24, at 2:36pm, Licensing Program Analyst (LPA) Arvin Villnaueva arrived unannounced to this facility to conduct a case management annual continuation visit to continue the annual visit initiated on 3/18/24. LPA met with one of the staff on duty and explained the purpose of the visit. The facility administrator, Zenaida Abriam, was made aware of the visit and arrived shortly after. Today's visit, there were 4 clients in care with 3 staff on duty.

During this visit, LPA Villanueva conducted an audit of facility files, four (4) client files, and four (4) staff files for regulatory compliance. All four staff have criminal background clearances and are associated to this facility. All client files reviewed contained all required contents including admission agreements, medical assessments, and individual program plan (IPP). All staff files reviewed contained required contents including health screening, TB results, current first aid/CPR, and initial and ongoing required training. LPA completed staff and client interviews.Facility’s liability insurance is current per regulatory requirements. LPA reviewed facility’s disaster plan to ensure regulatory compliance. LPA observed that facility conducts monthly fire drills. LPA requested updated copy of LIC 308, LIC 500 surety bond and liability insurance to be emailed to LPA.

During this visit, LPA observed the shed at the backyard to be locked and inaccessible to clients in care.

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.

An exit interview was conducted with Zenaida Abriam, Administrator, and a copy of this report and appeal rights were provided.