Facility Evaluation Report

On 10/9/2024, Licensing Program Analyst (LPA) Kelly Nguyen conducted an unannounced case management regarding an incident report that was submitted to CCLD on 10//24 regrading a client choke another client. LPA met with care staff Ellen Jovero and explained the purpose of the visit. Administrator (ADM), Frank was informed and explained the purpose of the visit but was not able to come during the time. ADM gave verbal permission for Ellen to sign the report.

S1 stated C1 asked to use the bathroom, and S1 was waiting outside the bathroom for C1. Once C1 was done with the bathroom C1 got out and walked toward C2 room and S1 tired to redirect C1, but C1 did not listened and forces into C2 room while C2 was sleeping. C2 room is right next to the bathroom, and C2 bed was right next to the door. S1 was not trying to use physical force on C1, but it happened so fast that S2 called the police right away when S1 called out for assistance. Police came right away and tried to redirect C1 but C1 didn’t listen, therefore C1 was handcuff. C1 just got discharge from John George today. C2 was brought to get a check-up the next day. C2 doctor indicated that C2 neck was okay without any mark or any concern.

Facility will submit a plan of prevention to help eliminate similar incident might happen again.

Exit interview is conducted a copy of this report is provided.