Facility Evaluation Report

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced follow-up Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with CEO Debra Emerson.

Today's visit was in response to a licensee self-reported client on client incident. LPA initially conducted a case management visit on 03/13/24 regarding this incident and licensee previously submitted an incident report on 03/11/2024. [See LIC 811 Confidential Names List for a description of residents].

Per interviews with staff, outside sources and a records review, on 03/04/24 Client #2 (C2) was seen by a staff member inappropriately touching Client #1 (C1) in a break room. Client #2 cannot advocate for self and C1 was immediately suspended from the program and provided counseling. C2 is longer a client of this Adult Day Program.

CEO Debra Emerson stated that effective immediately, clients are to be supervised at all times. An in-service training will be conducted with all staff to ensure supervision protocols are met at all times.

One (1) deficiency was cited per California Code of Regulations, Title 22, (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the CEO.

An exit interview was conducted with Debra, whose signature below confirms receipt of a copy of this report, the LIC811 and the Licensee Rights (LIC 9058 01/16).