Facility Evaluation Report

On October 5, 2023, Licensing Program Analyst, John Calandra and Licensing Program Manager, Cara Smith arrived at the licensed facility for a follow up visit in regards to an incident report received on 8/14/2023. LPA Calandra and LPM Smith were greeted at the door by Elvira Cano, Caregiver and they explained the purpose of their visit.

LPA Calandra and LPM Smith were given a tour of the facility by Caretaker, Elvira which included three client bedrooms, 2 bathrooms (1 upstairs and 1 downstairs), the kitchen, living room, etc. Nina Allison, was able to join via phone. LPA Calandra and LPM Smith reviewed client records of R1, R2, and R3. LPA Calandra and LPM Smith asked for copies of Nina's administrator certificate, LIC 500, etc. and for her to check Guardian as CCLD only has two staff members currently associated with the facility.

The administrator, Nina stated that R1, his social worker, Anita Yen and Nina had a discussed the incident on Zoom on 10/3/2023 and investigation revealed that R2 puts his arm on R1 when he is in need of postural support due to a medical condition. Since the incident, the administrator stated that R1 and R2 who were previously roommates are no longer roommates and have switched with other clients and no other incidents have been reported.

An exit interview was conducted with Elvira Cano, Caretaker and a copy of the report was left at the facility. No other deficiencies were cited today.