Facility Evaluation Report

On January 29, 2025 at 1:35 PM, Licensing Program Analysts (LPAs) Kenneth Madrigal and Simi Rai arrived at the facility unannounced to conduct a case management – other visit. LPAs met with Staff (S2), Nikha Shane Navarro, Direct Supportive Professional. LPAs observed one staff member and one resident during the visit. Five out of the six residents are at day program during the time of the visit.

LPAs spoke on the phone at 1:36 PM with Felicia Lehner , Program Manager (PM) and stated the purpose of today's visit. PM was unable to meet with LPAs during today's visit and verbally gave permission for staff (S2) to sign today's report on her behalf.

The purpose of the visit is to hand deliver an immediate exclusion letter for an individual (S1) who the Department determined engaged in conduct inimical as a staff in the facility. LPAs sealed the letter and handed it to S2 with Program Manager, Felicia Lehner 's verbal permission. PM states S1 was never hired, does not work for the facility, is not in their Human Resources (HR) system. Additionally, PM stated she will separate S1 from the facility roster and Guardian and that S1 was terminated in 2023.

PM will submit an updated LIC 500 to the Department via email.

No deficiencies were cited per California Code of Regulations, Title 22.

This report was reviewed with Staff (S2), Nikha Shane Navarro and a copy of the report was provided.