Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced case management visit to follow up on visit conducted on 12/10/2024. LPA Rai met with Administrator (ADM) Avery Manibusan and Licensee (LIC) John Manibusan and stated the purpose of today's visit. LPA Rai observed 2 staff and 0 residents.

On 12/26/2024, LPA Rai followed up with ADM and LIC. LIC stated on 12/24/2024, R1 left the facility to walk to high school. LIC had left the facility around 10am since both residents were attending school and day program. When LIC returned to the facility around 1pm, R1 had entered the facility through a bathroom window and taken the facility van keys from the lockbox and drove off from the facility with the facility van. LIC stated R1 returned the facility van later in the day and left the facility again without informing LIC and ADM.

This was the second incident where R1 returned the facility and entered the facility when staff were not present at the facility. LIC stated he has scheduled a staff to be present at the facility 24 hours 7 days. LIC stated he will submit an updated LIC 500 to the Department.

Based on staff schedule for 12/24/2024, staff are not present between 7am to 1pm, as resident are attending school and day program.

LIC stated R1 has returned to the facility on 12/24/2024, but was not present during today’s visit since R1 was visiting friends. ADM stated he is updating R1’s Appraisal/Needs and Services Plan. LIC stated he is considering eviction notice for R1.LPA Rai provided California Code Regulation 80068.5 and 85068.5 for Eviction Procedure and to follow the facility’s “Eviction Procedures” on page 63 of Plan of Operations.