Facility Evaluation Report

On 06/01/23 around 03:00 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a case management for an Unusual Incident/Injury Report received 05/30/23 around 06:56 PM regarding Client #1 (C1). LPA met with Denise Garcia, Administrator (ADM) and explained the purpose of the visit. Samantha Nomura, Clinician will sign the report for ADM.

LPA and ADM toured the facility. LPA interviewed ADM and Staff #1(S1). ADM explained that C1 had crossed several boundaries by winking and making kissing gestures to others in the facility since being admitted on 05/15/23 for a fourteen (14) day stay. There was a language barrier between Staff and C1, but Staff #2 (S2) was able to translate and had advised C1 that the behaviors were not acceptable. S1 explained that he/she had limited interaction with C1. C1 was assigned C2 as a roommate on 05/19/23. C1 told S1 that he/she was kept up all night because C2 humping his/her own bed. S1 assisted with moving C2 to another room. C1 gave S1 a thumbs-up. C1 asked S2 what was S1's name and title, and after that is when C1 approached S1's office on Saturday 05/20/23, at approximately 2:20 PM. C1 entered the S1's office and sat down in the chair. C1 asked S1 a unknown question and then moved closer to this S1. S1 left the room and C1 followed S1 into the hallway. C1 then grabbed S1's hand and attempted to pull S1 closer. With C1's left hand, C1 was making kissing gestures and motion toward his/her lips.