Facility Evaluation Report

People's Care Goodenough, Fillmore03/30/2023Licence 565802410

Capacity6
Census5
Date signed03/30/2023 05:13:14 PM
The inspector’s account

Licensing Program Analyst (LPA) Teresa Camara conducted an unannounced case management visit regarding an incident which took place on 3/26/2023. LPA met with House Manager Rudi Otani and explained the reason for the visit.

LPA Camara interviewed staff 1 (S1) and client 1 (C1) starting at 10:45 a.m. On 3/26/23 C1 eloped from the facility sometime between approximately 8:30 p.m. and 8:45 p.m. At that time the facility census was five; three clients on the permanent side and two clients on the crisis side.

C1 could not say why they eloped from the facility. C1 stated they left through the rear door and climbed the fence near the basketball court to get out. C1 stated they went to the lookout area down the road and was found by a Sheriff deputy. S1 stated they believe C1 was triggered by another individual being able to leave to see their family and C1 was not able to see their own family.

According to the facility agreement with Tri-Counties Regional Center, there should have been a minimum of two staff on the crisis side as both clients require 1:1 staffing and there should be a minimum of two staff on permanent side anytime they have two are more clients on that side. .

On 3/26/23 there were only two staff at the facility when there should have been four. They had someone call out on the crisis side and they did not have enough staff to cover the permanent side as one of their staff is currently on leave. The administrator Daniela Mosquera is trying to hire more staff but it has been difficult to find qualified people.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted and the report and appeal rights sent to administrator via email.

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