Facility Evaluation Report

On October 29, 2024 San Bruno Regional Office- San Bruno Unit conducted a non-compliance conference office meeting.

- Facility licensee/administrator Adora Ancheta

- Facility representative Rochelle Rivera

- CCLD Licensing Program Manager April Cowan

- CCLD Licensing Program Analyst Audrey Jeung

During the non-compliance meeting, the following serious violations were discussed: 80088(e)(1) Furniture, Fixtures, Equipment. and Supplies, 87407(e)(1-3) Administrator Recertification, 80026(h)(1) Safeguards for Cash Resources, Personal Property, and Valuables of Residents, 80077.3(a)- Care for Clients Who Lack Hazard Awareness or Impulse Control, and 80078(a) Responsibility for Providing Care and Supervision.

During this meeting, the compliance plan was developed and discussed with the licensee which includes more frequent monitoring inspection visits to ensure compliance with this compliance plan and Title 22 Regulations for 2 years. Licensee was provided the link below for resources and guidance to improve facility operations:

https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers .

In addition, Licensee was provided with an amended facility report of the annual inspection dated on 10/9/2023.

Furthermore, the Licensee was provided a case management report on LIC809, LIC809D and an LIC421IM form issuing an immediate civil penalty of $500. The immediate civil penalty of $500 was issued today due to absence of supervision that occurred on 5/10/2024 in which a Developmental Disable resident eloped from the facility without staff supervision.

This report was reviewed with the administrator and licensees and a copy of the report and appeal rights were provided.