Facility Evaluation Report

On January 29, 2025 at 12:53 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), Tonga Chapman. LPAs observed one staff member and two residents during the visit. Three out of five residents are in day program.

LPAs spoke on the phone at 11:55 PM with Naya Herrera, Administrator (ADM) and stated the purpose of today's visit. ADM 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 ADM's verbal permission. ADM states S1 was never hired, does not work for the facility, is not in their Human Resources (HR) system. Program Manager Felicia Lehner stated she will separate S1 from the facility roster and Guardian.

ADM 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), Tonga Chapman and a copy of the report was provided.