Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith, along with Tri-Counties Regional Center Quality Assurance Specialist Freddie Garcia, conducted an unannounced Case Management - Incident visit at 9:30 a.m. The LPA and QAS met with staff and explained the reason for the visit. Administrator Marchelino Roos was unavailable, thus the visit was conducted with Administrator Carlos Marcia, whom arrived at approximately 10:45 a.m.

On 09/27/2021, Administrator Carlos Marcia informed the Department of an incident pertaining to Client #1 (C1). It was communicated that on 09/26/2021, C1 unknowingly left the facility. Staff last saw C1 on 9/26/2021 between the approximate time of 6:30 p.m. and 6:45 p.m., when C1 stated they were going to lay down in their room. While passing medications that evening at approximately 7:10 p.m., staff noted that C1 had eloped from the facility. Staff went into C1’s room and discovered that C1 had stuffed pillows under the bedding to look like they were there sleeping. Staff began looking for C1 throughout the community. Between the approximate time of 9:00 p.m. and 9:30 p.m., Staff #1 (S1) located C1 in the community and prompted C1 to return home. Staff #2 (S2) attempted to assist S1 with asking C1 to return home, yet it was noted that C1 was becoming increasingly agitated. The Simi Valley Police were called and arrived at the scene and during that time, staff continued to employ de-escalation techniques to encourage C1 to return home. During that time, S1 was attacked by C1 with what looked to be a knife, and was struck several times in the head, causing injury. S1 was transported to the emergency room and C1 was arrested. C1 is not in the facility at this time.

During today’s visit, a physical plant tour was conducted at 10:16 a.m., the Administrator was interviewed at 10:52 a.m., and reviewed records at 11:30 a.m. Further investigation is required.

No deficiencies cited. Exit interview conducted. A copy of the report was issued.