Facility Evaluation Report

Licensing Program Analysts (LPAs) Cuadra and Nakagawa conducted an unannounced case management Legal/ Non-compliance inspection to this facility met with Jordan Mason (Program Assistant). LPAs are following up on items that were concerning to ensure compliance with non-compliance conference dated 7/17/24:

Drugs brought and sold in the facility - Facility has allowed client access to drugs in the facility. LPAs learned that there is a Zero Tolerance policy of drugs on property and reviewed signed drug policy on file at the facility for each client. Also, drug tests and revisions of belongings are conducted periodically/randomly to monitor that this type of incidents are been prevented from happening.

CCR 80064 (a)(2) Administrator - Qualifications and Duties - Administrator failed to ensure regulation requirements were met for facility operation. LPAs have requested the facility to submit required documentation to change the administrator on file: LIC 200 (original), LIC 500 Personnel Report, LIC 501 Personnel Record, LIC 308 Designation of Facility responsibility (designation of who is the administrator), Copy of Administrator Certificate, Administrator Resume, Copy of Personal ID and Copy of Board of Directors' Resolution meeting minutes signed (required for all corporations). LPAs learned that acting Administrator Wendi Counta, Program Director has a current administrator certificate #6013654735 expires on 9/29/26.

CCR 80061 Reporting Requirements - Facility has failed to adhere to incident reporting requirements. LPAs reviewed incident report logs that confirmed that facility has been reporting incidents to CCL within regulations.

During today’s visit, LPAs learned that Technical Support Program will be assisting the facility with guidance, review of facility operation, discussing best practice to help them to be in compliance with regulations.

No citations issued during today's inspection. Exit interview conducted with Program Assistant and copy of the report was given.