Facility Evaluation Report

Licensing Program Analyst (LPA) Olson conducted an unannounced subsequent Case Management visit to issue final findings on an Incident that happened on 7/18/23. LPA conducted the investigation with Tri-Counties Regional Center Quality Assurance Specialist (QAS) Tracy Jackson and interviewed staff on 7/24/23, 7/25/23, and 7/26/23. LPA and QAS met with the Administrator and explained the purpose of the visit.

CCL received an incident report on 7/25/23 stating that on 7/18/23 Client 1 (C1) exhibited agitated behavior and self-injured. On 8/3/24 LPA and QAS toured the facility and interviewed Administrator, Staff 1 (S1) and Staff 2 (S2) regarding the incident. LPA and QAS requested relevant documents.

Interviews with Staff revealed they were not trained on restraints and did not receive the proper training to support C1. Administrator stated they provided staff with a schedule for C1, token board, and transportation contract. LPA and QAS reviewed staff paperwork and observed Staff 1 had expired CPR, First Aid and Emergency Intervention training. Staff 2 had no training records, CPR, First Aid or Emergency Intervention training on record. Administrator stated the training schedule was done in corporate and they would provide it to CCL.

Pursuant to Title 22 of the CA Code of Regulations, the following deficiency was cited (refer to 809-D).

Exit interview conducted. Copy of report and appeal rights issued during the visit.