Facility Evaluation Report
Capacity6
Census4
Date signed03/20/2023 05:11:03 PM
Licensing Program Analyst (LPA) Teresa Camara conducted a case management - incident visit to the facility regarding incidents which occurred on 3/7/23 and 3/10/23 regarding Client 1 (C1). LPA was joined by Tri-Counties Regional Center(TCRC) Quality Assurance Specialist (QAS) Liz Aced-Arnett.
During the visit LPA and QAS interviewed staff starting at 9:55 a.m. and 12:29 p.m. and a client at 12:07 p.m. Further investigation is needed. LPA will return at a later date.
A Deficiency was observed and addressed on a separate report. Exit interview conducted and report emailed to administrator.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction