Facility Evaluation Report

During the course of a complaint investigation, LPA observed deficiency that was not part of the complaint investigation.

Facility failed to report several incidents and submit the required incident reports to Community Care Licensing (CCL). LPA went over reporting requirements with facility. It was reported facility submitted incident reports to North Bay Regional Center (NBRC) and believed NBRC would submit to CCL regarding client (C1). In addition another incident report was said to have been completed by outside agency and a report was not sent in to NBRC or CCL.

The facility failed to notify the department and provide a written report within the required 7 days.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal right s and this report will be emailed to facility