Facility Evaluation Report

Unannounced case management visit made out to this facility on 04/17/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Bokime Etim, who was briefly interviewed at this time.

The facility designated Administrator had to leave the facility due to other obligations at this time.

This LPA conducted the rest of this visit with the facility staff person, Ude Etim, at this time.

Current census was 5 residents, of which, two were present but the other three residents were out of the facility at this time.

The purpose of this visit was to follow up with the facility designated Administrator to inquire about the recent Special Incident Reports (SIRs) that were submitted into CCL. There were concerns as to the frequency of the submission and the activities that were involved with the SIRs.

It was learned that this facility, and the facility designated Administrator, was working with Valley Mountain Regional Center and Alta California Regional Center, to address these issues at this time. A plan has been approved for possible placement and relocation.

The facility designated Administrator will submit any changes and updates to these relocation plans.

There were no deficiencies observed or cited during today's case management visit.