Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced Case Management Deficiencies visit. The visit was conducted in collaboration with the Tri-Counties Regional Center staff, Patrick Brown, Quality Assurance Specialist and Liz Aced-Arnett, Quality Assurance Specialist. The LPA met with Licensee Julia Espena, and Louisa May Nollan, and explained the reason for the visit.

During an investigation under complaint control # 29-AS-20240603091555, interviews revealed that the facility administrator and licensee failed to report to the Department an incident that took place on May 30, 2024, in which Resident #1 (R1) got lost during an outing. The R1 arrived at the facility on their own, later the same day. The R1 stated that they took public transportation to get to the facility. When asked what happened after using the restroom, the R1 stated that when they came out of the restroom, they did not see the facility staff and thought that they left without them. R1 decided to get back to the facility by taking public transportation. The licensee and administrator stated they were having internet issues and were not able to send the report.

The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code.

Deficiencies were cited. Exit interview was conducted. A copy of the report and appeal rights were issued.