Facility Evaluation Report, 02/26/2024 — Jemie Family Home, Oxnard CA

Licensing Program Analyst (LPA) Esther Cortez conducted a Case Management - Incident visit to follow up, and issue final findings and citations related to the initial Case Management - Incident visit conducted on 02/21/2024. The LPA was joined by Tri-Counties Regional Center (TCRC) Quality Assurance Specialists (QAS) Katy Robison. The LPA met with Co-Administrator Joemar Ong and informed him of the reason for the visit.

On 02/21/2024, LPA Cortez conducted an unannounced Case Management - Incident visit to the above facility. The purpose of the visit was to follow up on three self reported Unusual Incident/Injury Reports (LIC 624), two (2) received on 02/13/24 and one (1) on 2/14/24, regarding Client 1 (C1), Client 2 (C2), and Client 3 (C3). LPA was joined by Tri-Counties Regional Centerc(TCRC) Quality Assurance Specialists (QAS) Katy Robison and Patrick Brown. The LPA met with Co-Administrator Joemar Ong and informed him of the reason for the visit. The LPA and QAS interviewed the Co-Administrator and three (3) staff at 9:15 a.m., 9:56 a.m., 10:52 a.m., and 11:52 a.m. and Interviewed C3 and C1 at 12:37 p.m. and 1:16 p.m. The video recordings regarding C3 and S2 was reviewed with the Co-Administrator. During today's visit the LPA and QAS interviewed Administrator Erik Miranda, one (1) client and one (1) staff.

The first self reported Unusual Incident/Injury Report (LIC 624) received on 2/13/24 pertains to an incident that occurred on 02/11/2024 regarding Client #1 (C1) and Staff#1 (S1). It was reported that S1 pushed C1. During today's visit S1 admitted to pushing C1 on their chest.

The second self reported Unusual Incident/Injury Reports (LIC 624) received on 2/13/24 pertains to an incident that occurred on 2/12/24 regarding Client #2 (C2). It was reported that C2 had a quarter size bluish discoloration on their left upper arm and that C2 alleged a peer had hurt him. Staff interviews revealed that both clients have one to ones and that nobody witnessed C2 being hurt by a peer or anybody else.