Facility Evaluation Report

Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced on 8/6/24 at 3:55pm and met with Averey Mata, Caregiver and Lionel Nunez, Administrator stating the purpose of the visit. Avery Mata was given permission to sign this report.

This visit is to cite deficiencies as noted during a Title 17 Monitoring Review conducted on 5/31/24 by Alta California Regional Center (ACRC). LPA was made aware that the staff had not completed the required training for Direct Support Professional (DSP). The training for staff #1 (S1) had a 12 month window to complete but has not completed.

During this visit, Administrator informed LPA that S1 no longer employed at this facility.

Based on LPAs observations and interview with Administrator the preponderance of evidence standards has been met.

Per California Code of Regulations, Title 22 Division 6, Chapter 6, deficiencies are being cited during this visit.

If any deficiencies are not corrected by the noted due dates; civil penalties may be assessed. The Administrator was provided a copy of their rights (LIC9058) and their signature on this form acknowledges receipt of these rights.

Exit interview held with Averey Mata and a copy of this report and appeal rights were provided.