Facility Evaluation Report

Licensing Program Analyst (LPA) Valencia arrived at the facility unannounced on 08/20/2021 to conduct a case management visit, LPA met with administrator Angel Doss and explained the purpose of the visit. Prior to initiating the case management, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. Additionally, LPA was screened by facility staff upon entry.

LPA received a phone call regrading an incident that happened between a staff member and client from facility from Administrator (Admin) Paula Davis

Admin Paula Reported the following; On 11/06/2020 staff member (S2) was informed that client (C1) having behavior issue and staff member (S1) stated he had to take him down. S1 stated that C1 was physically attacking him and had no other choice. S1 reported that he took C1 down and sat on his chest holding his arms above his head and poked his finger into C1's chest yelling and cussing at him.

Paula reports that Administrator Angel Doss spoke to S1,who admitted to her that he did in fact yell at C1 and push him away from him, but not holding him down. C1 was checked for injuries, which he had none, but we decided to terminate S1. Administrator Angel Doss faxed in an incident report and supporting documents.

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted and appeal rights provided.