Facility Evaluation Report

Licensing Program Analysts (LPAs) Deniz and Hansen conducted an unannounced case management Legal/ Non-compliance inspection to this facility and was greeted by Keirra Cooper (Lead Behavioral Health Tech) who contacted Administrator Wendi Counta and all were able to have discussion regarding todays visit. And Administrator authorized staff to sign for today's visit. LPAs are following up on items that were concerning to ensure compliance at 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 being prevented from happening.

CCR 80064 (a)(2) Administrator - Qualifications and Duties - Administrator failed to ensure regulation requirements were met for facility operation. LPA’s learned that Administrator was changed on 1/17/2025 to Wendi Counta, Program Director 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.

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