Facility Evaluation Report

At approximately 10:00am, Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a case management visit in regards to two incident reports submitted to CCL from the facility. LPA was greeted by administrator (admin) Stephen Ngata.

On 10/30/2025 CCL received incident report involving client (C1) for an incident that occurred on 10/29/2025. C1 eloped from the facility during the night. Facility received a call from Vacaville PD that client was found and was in their custody. C1 was reported to be found wandering around and was placed in a hotel. At 6:55am Vacaville PD dropped off C1 back at the facility. Admin stated both night staff were immediately suspended and will no longer be working at facility.LPA conducted interviews and gathered additional documents. Facility is being cited for not providing the services necessary to meet clients needs as evidenced by a lack of supervision which led to C1's elopement from the facility (Deficiency cited, See LIC809-D).

*Civil Penalty Issued for $500 per HSC 1548(c)(3)

On 10/30/2025 CCL received incident report involving client (C1) for an incident that occurred on 10/28/2025. Staff did not administer C1 scheduled 8pm medication. Admin stated C1 was in shower during medication pass and medication was seen to not have been administered the following morning (Deficiency cited, See LIC809-D).

Technical Support Provider (TSP) assistance was offered to Licensee during visit. Licensee would like to participate in TSP and follow through with program.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Exit interview conducted with Administrator and appeal of rights provided. .