Facility Evaluation Report

An office meeting was held today, 12/05/2024, via Microsoft Teams to address the topics listed below.

The following Licensing staff were present:

Licensing Program Manager (LPM) Troy Ordonez, LPM Lauren Crocker, and Licensing Program Analyst (LPA) Sarah Benson.

The following facility representatives present:

Licensee Juanita Potts, Administrator Erykah Timberlake-Small, House Managers David Small, Jennifer Potts, and Amber Tuller.

The following topics were covered during today's meeting:

· The Licensee informed the department that she wants to close the facility. The house managers also informed that they will be giving 30-day notices to the residents and that they would be moving.

· LPM Crocker explained that a 60-day notice would be required to close the facility and that there are options the licensee can consider that would not displace the residents in care.

· There was a discussion in regard to the outstanding corrections from the recent facility annual inspection.

· The licensee was encouraged to take a few days to consider her options and consult with her support system and a follow up meeting will be scheduled for next week to discuss next steps..

LPA will follow-up with Licensee to ensure all questions are answered. LPA will set up a team’s meeting next week with CCLD representatives, Siskiyou County Mental Health Program Director, Licensee and those who accompany the licensee.

An exit interview was conducted, and a copy of this report will be provided to the facility via email. A copy will be signed and returned to CCLD. The signature of the Licensee on this form acknowledges receipt of this document.