Facility Evaluation Report

Licensing Program Analyst (LPA) Vicky Williamson conducted a case management visit to cite for deficiencies in regard to a complaint visit on 10/3/22 and a case management visit on 7/19/22. LPA met with Joseph Baker, Assistant Program Director and discussed the purpose of the visit.

Licensee Rukhsana Gasque did not report the absence without leave (AWOL) to Community Care Licensing for C1 that occurred on 7/11/22. In addition, an AWOL that occurred on 6/21/22, involving C1 was not reported to Community Care Licensing until 7/15/22. License notified the outside sources and responsible party, however did not contact Community Care Licensing.

Records reviewed determined that C1 is not allowed off the premises without supervision.

During today's visit, LPA Williamson discussed reporting requirements, unusual incidents, and additional staffing with Joseph Baker, Assistant Program Director.

The deficiency is noted on the attached LIC 809D and is cited in accordance with the California Code of Regulations, Title 22, Division 6, Chapter 3.

An exit interview was conducted with to Joseph Baker, Assistant Program Director, to whom a copy of this report and the Licensee's Rights (LIC9058 01/16) were provided licensee.