Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma conducted unannounced case management visit to the facility. At around 11:15am LPA met with the Program Director, Carlos Guillen, explained the purpose of this visit, conducted a physical plant tour and requested documents.

On 05/15/2024, an incident was reported to the department stating that on 05/14/2024 Client #1 (C1) was struck in the back of the head-neck area by Staff #1 (S1).

LPA interviewed staff from around 11:45 PM to 12:45 PM. During interviews, Staff #2 (S2) stated that on 05/14/2024 at around 2:15pm, when C1 was preparing to leave the facility and board a bus, C1 was noticeably unwell. S2 asked if C1 was ok and sat them down. C1 began shaking but did not lose consciousness. C1 requested that their responsible party (RP) be called to be taken home. S2 asked what happened and C1 stated S1 hit them and gestured towards the back of the head-neck area. After explaining, S2 checked C1 for marks but did not observe any. C1 started to shake again then S2 called paramedics and the RP. Paramedics checked all vitals and stated C1 was ok but that it was ultimately RP’s choice to take C1 to the hospital. RP decided to have paramedics take C1 to the hospital. S2 contacted the RP later that evening and RP explained that the incident was deemed a anxiety attack by medical professionals. S2 interviewed S1 regarding the incident and they stated that all they did was tap C1 on the shoulder to say hello and C1 stated that they were startled. Staff #3 (S3) was with S1 during the time of the alleged incident and did not witness any physical or verbal altercation between C1 and S1. Staff #4 (S4) stated that C1 had headphones on and was dancing prior to and after the alleged incident. S1 does not have any history of physical or verbal altercations in the 24 years that they have worked in the facility.