Facility Evaluation Report

On 4/2/2024 at 10:05am, Licensing Program Analysts (LPAs) L. Hall and T. Syess-Gibson conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 3/13/2024 and an amended incident report on 3/27/2024. LPA met with Lowelyn Santamaria, Program Coordinator and explained the purpose of the visit.

S1 submitted an incident report for staff misconduct that occurred on 3/8/2024, however, facility was not notified about the misconduct until 3/12/2024. S1 stated that C1's home administrator notified the day program about the misconduct and the day program conducted an internal investigation. S2 was suspended pending investigation on 3/14/2024 and terminated on 3/18/2024.

LPAs collected the following documents: client roster, staff roster, C1's emergency sheet, admission agreement, individual program plan (IPP), semi annual report. S2's employment application, staff information sheet, adverse action notification, employee suspension, employee separation, service agendas.

LPA requested the following documents to be submitted to CCLD by end of day 4/3/2024: Facility's investigation of misconduct.

Exit interview conducted and a copy of this report was provided.