Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct a case management - other visit. LPA met with Clinical Director, Kevin Scurich and Administrator, Jennifer Briscoe.

The purpose of the visit is to address Title 22 violations reported by the Department of Health Care Services (DHCS) annual visit that occurred on 08/22/2024.

The DHCS report stated that 2 out of 3 client open records contained a written assessment that was not completed on admission. 3 clients records contained a written assessment that did not include documented evidence of medical needs, as reported.

The DHCS report stated that 5 personnel records did not contain documented evidence that the employees had one (1) year of full-time experience, or its part-time equivalent, working in a program serving persons with mental disabilities or a documented plan of supervision.

LPA reviewed the facility's plan of correction verbally with the Clinical Director and obtained the facility's written plan of correction that was submitted to DHCS.

Deficiencies were cited per California Code of Regulations, Title 22. See LIC809-D.

This report was reviewed with Clinical Director, Kevin Scurich and Administrator, Jennifer Briscoe and a copy of the report and appeal rights was provided .