Facility Evaluation Report

Unannounced case management visit made out to this facility on 11/21/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Bokime Etim, who was briefly interviewed at this time.

Current census was (4) residents, of which, (1) resident was out of the facility at their respective day program at this time.

The purpose of this visit was to deliver the findings of a review that was conducted in regards to a recent death that occurred at this facility. Based on the findings of this review that was conducted, it was deemed that it was "Unsubstantiated" for the following allegation:

Neglect/Lack of Care: Lack of care and supervision resulted in choking incident and death of resident.

There were no deficiencies observed or cited in relation to this review and the findings.

In addition, this case management visit was conducted to follow up about the forms and documents that were provided by this facility designated Administrator Bokime Etim in relation to the Plan of Operation (Program Description) and its contents at this time.

It was observed that R1's Needs and Services Plan did not properly reflect their care needs since it had not been updated as required whenever changes took place for R1. Some of the updated care needs that were identified for R1 were not addressed in the form of an updated care plan to make sure that this facility was capable of providing adequate care and supervision for R1.

From a prior visit that was conducted on 10/28/2024, This LPA discovered that the facility designated Administrator was in the process with development and construction of another possible living unit that was taking place in the backyard area of this facility. It was learned that a permit was pulled on 07/22/2024 through the City of Manteca for an Accessory Dwelling Unit (ADU) to be placed behind this facility.