Facility Evaluation Report

At 10:00 am Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced case management visit. LPA met with Administrator Vashan Bobney and disclosed the reason for the visit.

Today’s case management visit is to follow up on a series of special incident reports (SIR) previously reported between February 2025 to May 2025 by the facility in which Client #1 (C1) is continuously threatening with self-harm. The purpose of the visit is to obtain additional information regarding these incidents. LPA collected copies of documents pertinent to today’s visit. From 10:00 am to 12:00 pm LPA conducted interviews and toured the facility.

On 02/19/25 it was reported by the facility that C1 was speaking the C1’s brother and wanted to visit, however C1’s brother refused the request and C1 called 911 to state that C1 was going to self-harm. When law enforcement showed up C1 expressed that they wanted to be taken to the emergency room but later stated that they were just upset that C1’s brother refused the request to visit. Law enforcement refused to place C1 on a psychiatric hold and C1 returned to their room without further incident.

On 4/28/25 the facility reported that C1 had grabbed a stick and proceeded to scratch their arm, after staff spoke to C1 to calm C1 down, C1 returned to their room.

On 4/29/25 the facility reported that C1 unprovoked called 911 and threatened to self-harm, this time law enforcement did place C1 on a psychiatric hold, and C1 was released a few hours later.