Facility Evaluation Report

Licensing Program Analyst (LPA) De Leon and Tri-Counties Regional Center Quality Assurance (QA) Magana conducted a case management visit to the facility above. LPA and QA met with Nereida Leal and explained the purpose of the visit.

LPA requested the following records from the facility: LIC. 500 Staff Roster with telephone numbers, Staff schedule for May, Staff 1, 2, 3's (S1)(S2)(S3) Disciplinary records/ write ups, 2024 Staff Training on Personal Rights, Crisis Prevention Institute (CPI), Abuse/Neglect Training for all staff, Copy of Mandated Reporter forms for all staff, Copy of Corporations Reporting Policy and Procedures, Resident 1 & 2 (R1) (R2) Behavioral Reports, ID and information form, most Appraisal Needs and Services Plan (ANS) or IPP, and LIC. 602A Physicians Report.

LPA reviewed incident reports for two residents at the facility alleging staff abuse of and self reported by the facility.

The facility sent LPA a copy of the current internal investigation report and the findings of the report have not been determined at this time.

The internal investigation revealed a staff admitting to telling R1 that R1 would have to take a cold shower if R1 did not listen which is not an allowed re-direct with R1's behavior plan.

LPA will need further time to investigate the alleged staff abuse of hitting R1 and R2.

Exit interview conducted, Deficiency cited, copy of report and appeal rights printed for Administrator.