Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Case Management Deficiencies inspection. Tri-Counties Regional Center Quality Assurance Specialist (QAS) Liz Aced-Arnett was also present. Administrator Vanessa Garcia arrived at 12:50 PM.

During the an unannounced complaint investigation inspection, LPA Lopez and QAS Aced-Arnett observed there to be three staff and six clients present. The home is vendored by Tri-Counties Regional Center as a level 4-I home. Currently the home has two individuals who require 1:1 support, leaving one staff to supervise four clients. The staff schedule reviewed indicated between 12:00PM-1:00 PM there should be five staff present. During the visit another staff arrived at the facility to make there a total of four staff in the home.

Also at 12:30 PM, keys that unlock the medication cabinets and records were in an unsecured drawer in the kitchen.

The following deficiencies were 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.