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25 | Licensing Program Analyst (LPA), Carmen Lopez, conducted an unannounced visit to initiate a required Annual Inspection and in conjunction conducted this case management visit. LPA Lopez identified herself and was granted entry by Licensee Aeriaka Jacobs and Administrator Diana Diaz. LPA discussed the purpose of the visit with Administrator Diaz and Licensee Jacobs.
This visit was in response to a Special Incident Report (SIR) that was received at the San Diego Regional Office on Tuesday, October 1, 2024. The SIR stated that there was an incident that transpired on Thursday, September 26, 2024, with client #1 (C1) who had a behavioral episode which led to self-injurious behavior. The facility made proper notifications to law enforcement, San Diego Regional Center (SDRC) of Orange County (OC), residents responsible party, Physician, Behavioral Consultant and to the Department.
During today's visit LPA Lopez toured the facility, spoke with staff and C1, and requested and obtained relevant documents pertinent to this incident. LPA Lopez verified C1 was in pain and acted out by self-harming themselves. Additional records showed that C1 does have a history of self-injurious behaviors. LPA informed Licensee Aeriaka Jacobs and Administrator Diana Diaz that there may be further follow-up telephone calls or visits for this incident.
No deficiencies were cited during today’s visit.
An exit interview was conducted with Licensee Aeriaka Jacobs and Administrator Diana Diaz and a copy of this report, LIC811 and Licensee Appeal Rights (LIC9058) were provided at the conclusion of the visit. The signature below confirms that the documents were received. |