Facility Evaluation Report
Licensing Program Analyst (LPA) Jacob Williams arrived at the facility unannounced on 01/26/2022 to conduct a case management deficiency visit. LPA met with Administrator, Nelson Jacinto and explained the purpose of the visit. Prior to visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 respirator.
LPA discussed with Administrator the following:
On 01/24/2022 the Department received an incident report from an AWOL incident that happened on 1/19/2022. C1 walked out of facility and spent the night at a local Macy's. Licensee notified sheriffs department who issued a missing persons report. On the morning of 1/20/2022 somebody called 911 for her. Licensee transported her back to facility that day. LPA reviewed C1's file/Pysician's Report and found she is unable to leave the facility unassisted
The Department is issuing one (1) deficiency as a result. Deficiencies can be found on LIC-809-D per California code of regulations, title 22.
Exit interview conducted. Copy of report and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction