Senior Care Records.

Facility Evaluation Report

Mih-3 Care Home, Salida08/05/2022Licence 502700526

Capacity4
Census4
Date signed08/09/2022 11:04:26 AM
The inspector’s account

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit to the facility August 5, 2022 at 10:30 a.m. for a Case Management - Incident visit. LPA met with Administrator, Cami Azevedo and explained the purpose of the visit.

LPA received an incident report documenting on July 7,2022 Resident 1 informed facility staff she signed out of the facility at 5:15 p.m and met up with a man she met on "party line" who took her to the Modesto Cemetery. Resident 1 engaged in sexual activities at the cemetery with the man. LPA received an incident report documenting on July 8, 2022 Resident 1 signed out of the facility at 2:45 p.m.and met with an individual at a park, a person Resident 1 knows from day program. The two engaged in sexual activities at the park inside the girls bathroom.

Resident 1 has as history of these behaviors. Resident 1 has put in her notice and will be relocating to another facility.

LPA reviewed Resident1's IPP, and spoke with facility Administrator Cami Azevedo. The facility is doing what is necessary at this time to assist in preventing these behaviors. Resident 1 has taken relationship classes at Central Valley Training Center. The facility has brought up these behaviors at every quarterly meeting with Resident 1's Service Coordinator. The facility has informed, and actively involved the Valley Mountain regional center (VMRC) in assisting with Resident 1's behaviors. The facility has behaviorist that speaks to Resident 1 specifically about these behaviors. VMRC has brought a Psychiatrist specifically to interview Resident 1 about these behaviors. The facility Administrator and caregivers regularly speak with Resident 1 about the consequences of these behaviors. The facility is self reporting all incidents related to Resident 1.

No deficiencies cited today per Title 22 Regulations.

Exit interview conducted with Administrator Cami Azevedo and a copy of this report along with appeals rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction