Facility Evaluation Report

On 8/10/23 at approximately 1:15pm Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to address incident reports received. LPA Jensen met with Licensee Maryann Masaya and explained the purpose of today's visit.

At the time of LPA Jensen's arrival there was an Individual Program Plan (IPP) meeting being conducted with Resident 1 (R1), the Licensee and the Regional Center Service Coordinator. LPA Jensen sought permission from R1 to join the meeting and permission was granted. After the meeting LPA Jensen and the Licensee discussed incidents that occurred on 7/26/23, 7/29/23, 7/30/23 and 7/31/23 wherein R1 hit other residents.

LPA Jensen interviewed Licensee Maryann Masaya who advised that R1 was able to see a medical specialist and has had a change in medications effective 8/5/23. In addition, the facility has developed an incentive based approach for RI to refrain from physical aggression. The Licensee stated that over the past 2 days they have seen improvement with R1's behavior. The facility has staff that are on call and the on call staff will be deployed as extra support if there are triggering events.

Deficiencies are being cited form the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties.

An exit interview was conducted and a copy of this report and appeal rights were provided to the Licensee.