401703246-2-10-2023-29-AS-DCHZ-CNWV5A-20230210150736

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 401703246
Report Date: 02/10/2023
Date Signed: 02/10/2023 03:08:58 PM

Document Has Been Signed on 02/10/2023 03:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME:	ESCUELA DEL RIO - TOWARD INDEPENDENCE PROGRAM		FACILITY NUMBER:	401703246
ADMINISTRATOR:	DEBORAH ARGANO		FACILITY TYPE:	775
ADDRESS:	1205 EL CAMINO REAL		TELEPHONE:	(805) 466-7032
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY: 30		CENSUS: 30	DATE:	02/10/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Julia Renzaglia, Program Director		TIME COMPLETED:	03:30 PM

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On 2/10/23 at 12:15 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced visit to the facility to continue the investigation into an incident reported on 2/6/23 and occurring on 1/27/23. LPA met with Julia Renzaglia, Program Director, and informed of the reason for the visit. Also, in attendance was Miguel Magana, Quality Assurance Specialist, Tri-Counties Regional Center (TCRC).

To investigate the 1/27/23 incident which was reported to occur off-site at a restaurant in Atascadero, LPA interviewed the administrator, Program Director, staff, clients, and witnesses.

On 2/9/23 between 10:48 am and 2:44 pm, LPA interviewed the administrator, staff, clients and witnesses. Staff and witnesses who spoke with Client #1 (C1) directly after the 1/27/23 incident report that C1 told them that Client #2 (C2) “followed C1 into the girls’ bathroom and tried to kiss C1, then licked C1 on the face.” Staff say that C1 states C1 told C2 to get out of the bathroom, and C2 exited.

On 2/10/23 at 12:30 pm, LPA interviewed C1 who corroborates statements made to staff on 1/27/23. Upon further questioning, C1 adds that C2 touched C1 inappropriately. Witnesses say that C1 reported the inappropriate touching and also say that C1 has short-term memory problems and it is not clear what actually happened.

During the interview with C1, LPA observed C1 getting upset and C1’s eyes getting tearful when talking about the incident and C1 expressing upset about the fact that C2 is still in the environment, still on the same bus to/from program with C1, and “follows C1” at the day program.

On 2/10/23, the Program Director says administration has started discussions and making changes to client supervision for outings. She states that clients were supposed to have a picnic in the park today and that administration canceled it to change processes for how clients are supervised on outings. Program Director has committed to putting together a planning team meeting with TCRC service coordinator, C2’s residential provider, C2’s personal services advocate, and facility administrator to discuss resources to ensure similar future incidents with C2 do not occur. Continued on 809-C.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Darlene Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ESCUELA DEL RIO - TOWARD INDEPENDENCE PROGRAM	FACILITY NUMBER: 401703246
	VISIT DATE: 02/10/2023

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On 2/10/23, LPA advised administration to take extra measures to ensure no further contact is made between C1 and C2, C1 and C2 are not to be placed on the same vans when transporting to and from day program, processes are implemented to improve client supervision and administration will inform the representatives for C1 and C2 of these changes.

TCRC rep has committed to putting together a corrective action plan for the day program to review and make adjustments to policies on staff assignments to clients and ensuring that C1 and C2 are separated and do not have contact within the day program and during transportation to and from the program.

At this time, no deficiencies are being cited. However, CCL may continue the investigation and deficiencies could be cited in the future.

Exit interview conducted and a copy of the report given to the administrator and program director.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Darlene Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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