Facility Evaluation Report

Licensing Program Analyst (LPA) Karina Canela arrived unannounced at Samson Home Care 1 and met with Joanne Samson, back-up administrator . The purpose of this visit is to conduct a Case Management - Incident inspection.

The Department of Social Services, Community Care Licensing, Santa Rosa Regional Office received an incident report from Samson Home Care 1 submitted on 09/15/2022 regarding Client (C1). According to the report, the incident occurred on 09/14/2022 at C1's Day Program/School and police officers were contacted. LPA reviewed C1's file and discussed the current plan for C1 with Joanne.

LPA requested copies of C1's LIC602, IPP, and IEP to be submitted to CCL by 02/06/2023

**No deficiencies cited during this inspection