Facility Evaluation Report

On 12-20-23 at 10:45am Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding facility’s plan of operation and care and supervision. LPA met with Administrator Maricor Junson and explained the purpose of the visit. LPA conducted interview with Administrator and conducted a facility observation. Regional center representative was also present during this case management. Additionally, LPA reviewed facility sketch, and a previous regional center report dated 10-6-23.

During facility tour, LPA observed a room currently occupied by staff for living quarters. Based on facility sketch and regional center report, this area is designated as an “indoor recreation room” as reflected in the facility’s program design. Based on interview, it was determined that garage was converted for this purpose. It was further determined through record review and interviews that an updated program design/plan of operation reflecting the above change was not submitted to licensing department for review. Additionally, facility did not update facility sketch and initiate an updated fire clearance noting this converted area is now for staff use. Currently, based on observation and interview, this area is now locked and inaccessible to clients in care, which modifies the fire clearance.