Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management – incident visit. LPA met with Administrator (ADM) Tsion Haile.

On 07/26/2023 the Department received an incident report for resident (R1). On 07/25/2023 around 10:00am, it was reported by a concerned citizen that R1 was left unattended in the back seat of a vehicle, with the front windows partially down, in full sun, while staff (S1) ran a personal errand.

During visit, LPA interviewed 2 LSA staff members and toured the facility. LPA observed 5 out of 5 residents.

Based on interview, R1 was left in a running car while S1 ran a personal errand using the facility’s company van with the company logo on it. The time R1 was left in the vehicle unattended was unknown. It was not indicated that R1 was exhibiting any behaviors. R1 returned to the facility and was observed with no signs of body injury or changes in behavior. After the incident, the facility conducted an in-service training with staff to include the facility’s policy on resident abandonment. S1 was terminated from the facility.

Documents were obtained to include R1’s IPP, in-service training, and LSA’s resident abandonment policy.

The review of records states R1 requires close supervision and monitoring at-all-times.

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