Facility Evaluation Report

Licensing Program Analyst (LPA) Felias, Regional Manager (RM) Nuti-Martinez, Courtney Singleton, North Bay Regional Center, Amir Cruz-Khalili , Department of Developmental Services, Administrator, Tiffany Spiecker and Administrator-in-Training (AIT), Adam Olives met to discuss a recent incident along with staffing concerns.

On March 18, 2022, the Regional Office (RO) received an incident report stating that on 3/18/2022, Client (C1) left the facility, withdrew consent to receive care services from facility, and checked into a hotel. C1 updated facility of their whereabouts and facility staff provided medication management and meals for C1 but no additional supervision.

RO learned from Department of Developmental Services that C1 required 1:1 staffing for a portion of their day. Additionally, C1’s physician report (LIC 602), page 2, Section III, Line Item 9, asks for a physician to determine if C1 can leave the facility unassisted based on the client's capacity for Self-Care. C1’s physician marked that C1 was not able to be in the community unsupervised. C1’s Behavior/IPP plan, did not address this detail and facility did not ensure that the two documents matched. The facility continued to provide services to C1 after they left the facility, failed to ensure C1 had appropriate supervision while in the community when C1 left the facility and self-checked into a nearby hotel.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.