Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint visit regarding complaint control number 29-AS-20230317082841. LPA was joined by Tri-Counties Regional Center(TCRC) Quality Assurance Specialist (QAS) Liz Aced-Arnett.

During the complaint visit a deficiency was observed. LPA explained the reason for this report to interim administrator Belen Gutierrez.

Upon arrival to the facility there were three clients observed in the permanent side of the facility and one client observed in the crisis center side of the facility. There was one staff on the crisis center side and one staff on the permanent side. LPA and QAS reviewed this week's schedule and there is not enough staff scheduled to meet TCRC staffing requirements for this facility.

QAS stated the required staffing requirements for this facility is as follows:

If there are two or more clients on the permanent side of the facility there must be at least two staff on that side. On the crisis center side there must be one on one staff 24 hours for each client. In addition, there is one client on the permanent side of the facility who also requires 24 hour one on one care staff.

During the visit one more staff came to work, however they were still understaffed by one care staff.

Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited

Exit interview conducted. Copy of the report and appeal rights given to administrator via email.