Facility Evaluation Report

Licensing Program Analyst (LPA) Olson conducted a Case Management visit to address deficiencies. LPA was accompanied by Tri-Counties Regional Center Quality Assurance Specialist (QAS) Vincent Figueroa. LPA's and QAS arrived at 2pm and Edward Maldonado, Backup Administrator arrived to the facility around 2:30 PM. LPA and QAS and explained the purpose of the visit..

On 9/13/22 CCL was informed that the facility did not follow the COVID Outbreak Protocols. A staff tested positive for COVID on 8/27/22 and the facility did not notify CCL. The facility also did not follow Local Public Health orders or direction. On 7/19/22 LPA emailed and spoke with the Executive Director of Momentum and explained CCL policies for positive staff after it was discovered other facilities weren’t following the protocol.

LPA and QAS took a physical Plant tour of the inside and outside of the facility. LPA and QAS observed multiple physical plant deficiencies including:

At 2:40 PM LPA and QAS observed garage refrigerator handle to be broken

At 2:45 PM LPA and QAS observed towel racks in 2 bathrooms broken

At 2:50 PM LPA and QAS observed a light not working in the bathroom

At 3PM LPA and QAS observed chemicals unsecured under the sink

3:05 PM LPA and QAS observed multiple broken chairs and a broken umbrella in the backyard.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D):

Exit interview conducted, today's report and appeal rights were reviewed and emailed to Administrator.