Facility Evaluation Report

Licensing Program Analyst (LPA) JoAnn Rosales conducted an unannounced Case Management - Incident visit at the facility today. The LPA met with Program Director Roxana Esquivel.

The purpose of today's visit was to review records and obtain pertinent copies of facility records pertaining to a self reported incident of sexual abuse that was reported to Community Care Licensing (CCL) on 2/16/22 for client #1 (C1).

During today's visit LPA toured the facility with the Program Director, reviewed C1 and staff #1 (S1) records and obtained copies of pertinent documents. Interview with Program Director starting at 12:24 pm revealed that C2 spoke with staff #2 (S2) on 2/9/22 not 2/16/22 as noted on the incident report received on 2/16/22. Program Director completed a revised incident report during the facility visit and submitted it to CCL by email. Program Director stated that S1 was terminated on 2/11/22.

During facility tour with Program Director at 11:54 am LPA observed that S2 is not associated to the facility. S2 stated that they started working at the facility on 1/4/22. During interview with Program Director LPA was advised that they notified their Regional Manager Jessica Galindo on 2/9/22 regarding the past due annual fees however, they did not receive a response from them. During a review of C1's records starting at 2:05 pm LPA observed that the facility does not have a medical assessment, TB test or needs and services plan on file for C1.

Further investigation is needed regarding the alleged sexual abuse. A referral was made to Community Care Licensing Division's (CCLD) Investigation Branch (IB) and was accepted on 02/17/2022. The investigation is assigned to Investigator Dennis Douglas.