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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525001155
Report Date: 09/17/2024
Date Signed: 09/17/2024 10:54:45 AM

Document Has Been Signed on 09/17/2024 10:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:PRS - SOUTHPOINTE HOUSEFACILITY NUMBER:
525001155
ADMINISTRATOR/
DIRECTOR:		SCHLOTTMAN, LAURIEFACILITY TYPE:
735
ADDRESS:1260 SOUTHPOINTE DRTELEPHONE:
(530) 529-5749
CITY:RED BLUFFSTATE: CAZIP CODE:
96080
CAPACITY: 6CENSUS: 4DATE:
09/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Mendee Harrong - administratorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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09/17/2024 10:00 AM Licensing Program Analyst Rebecca Knight conducted an unannounced case management visit and met with administrator Mendee Harrong. Today’s visit is regarding an incident that occurred on 07/09/2024 and was reported to licensing on 07/10/2024.

It was reported that on 07/09/2024 11:30 PM Client 1 (C1) came out of their room and asked staff for a band aid. C1 had cut their wrist with a small piece of broken glass. Staff assessed C1 to make sure medical attention was not needed. C1’s wrist stopped bleeding and first aid was performed. C1 let staff know that their anxiety was kicking in. PRS on call manager and house administrator were called. Administrator arrived at the facility and C1 requested a PRN. C1 felt better after a while talking with the administrator and C1 stated they did not want to harm themselves any further and was looking forward to the activities planned for the next day.

During the course of the investigation, it was learned that C1 had obtained a small piece of broken glass. It is unknown how C1 obtained the broken glass. C1 scratched themselves with the broken glass and went to staff to obtain first aid. Staff had observed C1 in the common area shortly before C1 came out of their room and showed the scratches to staff.

In order to prevent this from happening again the facility has arranged for C1 to attend weekly counseling sessions and these sessions are showing positive results. Staff are observing C1 closely to ensure C1 is doing well without imposing on C1's personal space at C1's request.

No deficiencies were cited as a result of today’s visit. Exit interview conducted and a copy of the report was provided to Mendy Harrong.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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