Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - incident visit. LPA met with Program Director (PD), Michele Pagsisihan.

The purpose of the visit is to follow-up with an SOC341 the Department received on 05/16/2024. It was reported that on 05/15/2024, staff noticed that a client had not been eating his/her food because normally the client's clothes would be dirty after a meal. The client's lunch was found inside the trash can.

Based on interview, staff (S1) willfully threw away a client's lunch in the trash can. When another staff asked S1 if the client had eaten his/her lunch, the staff lied stating the client was finished eating lunch and was now eating his/her bowl of fruits. This client is non-verbal. The staff did not believe the client had finished his/her food because the client is normally messy after a meal, but the client was observed to be clean. Staff searched for the client's food and found the client's food inside a plastic bag in the trash can. After the observation, another staff had made the client another meal, which the client quickly ate. S1 was questioned after the incident, which S1 did not provide an explanation to why he/she made that decision. S1 apologized and knew it was wrong. S1 resigned that same day.

During today's visit, LPA interviewed 5 staff members (S1 - S5) and provided 5 out of 5 staff a declaration (LIC855). LPA provided her business card for staff who were unable to hand the declaration to LPA Dolores during visit. Documents were obtained to include S1's ID and application, and training document from 05/16/2024.

A deficiency was cited per California Code of Regulations, Title 22. See LIC809-D. This report was reviewed with Program Director, Michele Pagsisihan and a copy of the report and appeal rights was provided.