Facility Evaluation Report

On August 29, 2024, Licensing Program Analysts(LPAs) John Calandra and Kiran Jain arrived at the facility at 10:15 AM to conduct a Case Management Visit in response to a situation reported to Licensing that occurred in which a client was able to leave the facility unassisted on August 22, 2024. LPAs Calandra and Jain were greeted by Rome Cajigal, Direct Support Professionals(DSP) and explained the purpose of the visit. Victoria Flores, Licensee/Administrator arrived later during the visit.

While talking to the Administrator/Licensee, Victoria Flores, R1 left the facility unassisted. R1 has a history of AWOL and per review of R1's LIC 602: resident is not able to leave facility unassisted. R1 had previously also run out of the home and staff ran after resident but could not locate resident for a few minutes. Per resident record review, R2 is also unable to leave facility unassisted.

A Type B Violation was provided for not ensuring basic services were being met. R2 has a history of leaving the facility unassisted. Due to lack of supervision, R2 was able to leave the facility unassisted.

Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties.

An exit interview was conducted. This report was reviewed with Victoria Flores, Administrator/Licensee and a copy of the report left at the facility along with Appeal Rights.