Facility Evaluation Report, 12/15/2023 — Oceanview Workshop & Recreation Center, Port Hueneme CA

Licensing Program Analyst (LPA) Teresa Camara conducted a case management visit regarding a self-reported incident that occurred on 11/6/2023. LPA was joined by Tri-Counties Regional Center (TCRC) BCBA Quality Assurance Specialist (QAS) Stephanie Cole and TCRC QAS Katy Robison.

On 11/6/2023 at approximately 9:00 a.m., Client 1 (C1) had an incident while using the restroom. Staff 1 (S1) was C1's assigned one to one (1:1) staff. S1 helped C1 into the restroom stall and assisted C1 in removing clothing to use the restroom. S1 then exited the stall to give C1 privacy. S1 then heard noise in the stall and found C1 banging their head on the railing. S1 attempted to block C1 from hitting their head and C1 then started self injurious behaviors to their groin. S1 attempted to block C1 from injuring their groin and C1 tried to bite S1. C1 then stood up from the toilet and that is when S1 saw C1 was bleeding from their groin and had an injury which required immediate attention. S1 called for the lead staff (S2) who came to assist. S2 asked a secretary to call 9-1-1 while S2, the administrator and activity director attempted first aid to stop the bleeding. C1 was sent to the hospital and was accompanied by S2 in the hospital until the administrator from C1's home arrived. Interviews with staff were conducted between 11:04 a.m. and 12:30 p.m. Records were reviewed at approximately 12:00 p.m. The staff schedule appears to be in proper ratio for the clients served the day of the incident. The most recent needs and services plan for C1 dated 4/17/2023, does not address C1's issues with self injurious behaviors specifically in the restroom. During interviews with staff it was stated that C1 would "spend all day in the bathroom" if he could presumably because they have access to their body. There was some confusion among staff about balancing privacy with the level of supervision needed when C1 uses the bathroom.

Based on interviews and record review, C1's needs and services plan requires an update to address the supervision level when C1 uses the restroom and staff need training regarding the update. The following deficiency was observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. Exit interview conducted. A copy of the report and appeal rights were provided.