Facility Evaluation Report

On 08/05/25, Licensing Program Analyst (LPA) Lizeth Villegas conducted a case management visit in response to an unusual incident report that was submitted to CCLD on 07/25/25. The unusual incident report documented an incident that occurred on 07/25/25; regarding client #1 (C1), and staff #1 (S1). LPA met with Monique Weatherspoon and Administrator Chenia Jefferson as the purpose of the visit was explained.

On 08/05/25 LPA obtained copies of the following for staff #1 (S1): resume, statement acknowledging requirement to report suspected abuse of dependent adults and elders (SOC 341), Direct support professional (DSP) job description, and copies of the following in-services: NOC proactive strategies for NOC shift, function of behavior, ABC contingencies, and documentation, Behavior management and staff duties, break log, shift duties, cell phones, documentation training, documentation and individualize behavior support plans, BCBA behavioral training, corrective actions, evaluations, terminations/ resignations, HCBS final rule, and corrective actions. On 08/05/25 LPA obtained copies of the following for client #1 (C1): face sheet, physicians report, needs and service plan/IPP, medication list, behavior report, and body check form dated 07/25/25. On 08/05/25 LPA conducted interview with C1, and S2-S5. On 08/05/25 LPA unable to interview S1 as S1 is no longer employed at Person Centered Options II.

Due to insufficient information available at this time, the above allegations need further follow-up.

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