Facility Evaluation Report

On 9/26/24 Licensing Program Analyst (LPA) M. Garza arrived to complete an unannounced case management visit. LPA met with Program Director, Claudia Gonzalez, explained reason for visit and was permitted entry into the facility. Clients not at program during time of visit.

This case management visit is being conducted for Special Incident Reports that were received by Community Care Licensing from the facility.

Incident #1: C1 was hitting staff on multiple occasions and wandered outside.

Documentation was reviewed and interviews were completed. IPP states that C1 has behaviors when upset or having certain feelings. Behavior plan in place for the facility. Interviews conducted show that the behavior plan is being followed by staff when dealing with C1.

Incident #2: C2 fell during an outing resulting in an injury reported the following day by family. Documentation reviewed and interviews completed. Facility did not obtain medical attention for C2 after fall occurred. Deficiency cited.

Incident #3: C3 was eating breakfast when they began choking. Staff had to preform the Heimlich in order to dislodge food. Documentation and interviews completed. IPP reviewed specified C3 to eat soft foods cut into small pieces and was a choking hazard. Interviews completed show that staff followed directions per IPP.

Deficiency for C2 provided on attached 809D per Title 22. Exit interview completed with Program Director, Claudia. This report, deficiency and appeal rights provided.