Facility Evaluation Report
Capacity70
Census41
Date signed04/08/2024 12:21:57 PM
Licensing Program Analyst (LPA) Jason Lund arrived unannounced to do a case management visit. LPA Lund met with Administrator Ashley Gudino and explained the reason for the visit. Census: 41
LPA Jason Lund received an Unusual Incident/Injury Report (LIC 624) on 4/3/2024 from the facility stating that client (C1) eloped from facility on 4/2/2024. C1’s LIC 602 dated 2/23/2024 states that C1 cannot leave the facility unassisted.
Per California Code of Regulations, Title 22, the following deficiencies, and immediate civil penalty have been issued.
Exit interview conducted and report provided. Appeals rights printed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction