Facility Evaluation Report

Licensing Program Analyst (LPA) Dawn Segura visited the facility to conduct an unannounced Case Management – Legal/Non-Compliance visit. The facility is currently under a non-compliance plan that includes increased monitoring and visits, and the purpose of the visit was to ensure ongoing compliance with regulations and laws and ensure the health and safety of clients in care. LPA was granted entry into the facility and met with David Smith, Program Director, with whom she discussed the purpose of the visit.

During today’s visit, LPA toured the facility, observed clients in care, and provided consultation regarding Title 22 requirements, particularly CCR 80072 Personal Rights, CCR 80061 Reporting Requirements, CCR 85161 Emergency Intervention Documentation and Reporting Requirements. LPA also discussed staff training.

No deficiencies were cited during today’s visit. An exit interview was conducted with David Smith, and a copy of this report and Licensee Rights (LIC 9058) were provided to the Program Director at the conclusion of the visit.