Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Welfare Check visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator Timothy "TJ" Carrasco. LPA also spoke with Licensee’s representative, Liberty Cruz Nelson, via phone.

During today’s visit, LPA briefly toured the facility and conducted a Welfare Check on the one (1) client present, finding no safety concerns. The other four (4) clients were still offsite at day program. LPA also reviewed with Licensee a signed/executed CDSS Decision and Order (D&O), which excluded Staff #1 (S1) from employment at the facility. [See LIC811 Confidential Names List for a description of S1.]

Licensee confirmed having prior received a copy of the D&O. Interviews of multiple staff confirmed that S1 has not worked at the facility since 07/22/2023 and is no longer an employee at this facility. Licensee understands that S1 cannot be at facility for the remainder of their life.

LPA also reviewed CDSS’ Guardian System and ensured that all current employees of the facility were both background cleared and associated to the facility's personnel roster, as required.

No deficiencies were observed or cited during today’s visit.

An exit interview was conducted with Timothy “TJ” Carrasco, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.