Facility Evaluation Report

Licensing Program Analyst (LPA) Teresa Camara conducted a case management visit regarding a self-reported incident that occurred on 11/29/2023. LPA was joined by Tri-Counties Regional Center (TCRC) BCBA Quality Assurance Specialist (QAS) Stephanie Cole and TCRC QAS Katy Robison.

On 11/29/2023, Client 1 (C1) eloped from the facility. LPA and QAS interviewed clients at 9:30 a.m., 9:35 a.m., 9:40 a.m. and 9:49 a.m. Staff were interviewed at 9:08 a.m. and 10:05 a.m. LPA observed an exit which has a chime alarm to alert staff of anyone exiting the facility, however the chime alarm did not work.

It was witnessed that C1 exited the facility through the gate door that had the inoperable chime alarm. C1 left without staff supervision. A client witnessed C1 leave and alerted staff.

Staff 1 (S1) was assigned to C1 that day and had left for their group outing without C1. S1 was counseled by management and all of the staff received missing person training. This week, 12/13/2023, S1 had another incident of leaving C1 behind and S1's employment was terminated.

The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.