Facility Evaluation Report

On 4/18/2023 at 12:20PM Licensing Program Analyst (LPA) L. Hall conducted an unannounced Case Management follow-up visit regarding an incident that was reported to CCLD on 10/08/2022. LPA met with Victor Hernandez, Direct Support Professional and explained the purpose of the visit. Administrator, Ovilio Barrios Garcia arrived at 12:35PM.

During the visit LPA requested the following documents be submitted to CCLD by close of business day 4/18/2023: functional capability; appraisal needs and services plan; annual review dated 7/12/2022; 30-day post placement dated 9/18/2022; admission agreement; identification and emergency information; notification of individual high risk behavior and dangerous propensities dated 9/30/2022; medication record for September and October 2022; target behavior September and October 2022; case notes 8/24/2022 to 10/08/2022; sheet for community outings; and Individual Program Plan (IPP) addendums dated 8/22/2022; 8/31/2022, 9/7/2022, and 9/20/2022.

No citations are being issued on this date.

Exit interview conducted and a copy of this report provided.