Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted a case management visit during a complaint investigation visit. LPA met with Millet Pineda and explained the reason for the visit.

On 10/15/24 LPA Flores conduted a complaint investigation for complaint # 28-AS-20241009095559. During this investigation the following was reviewed: Incident report dated: 10/9/24, which reports and incident between clients living at the facility that occurred on 10/8/24. It was revealed that two clients were hurt by another client on 10/8/24. Staff #2(S2) was the staff in care of clients at the time and was in the kitchen when Client #2(C2) hit Client #1(C1) in the face, C1 began to cry and S2 told C1 “Stop crying and go to your room” at least three times. This was a statement given to LPA on the date the incident occurred during another complaint investigation. Upon paramedics arriving at the facility C2 was observed in the front yard in an emotional outburst. However, there was no staff assisting C2. C3 was taken to the hospital after obtained a head injury that required 4 staples due to the incident between the clients. Documents reviewed revealed C2 had been showing aggressive behaviors in the month of September. Although it was determined S2 has all the required training to provide care. S2 did not use proper descaling techniques to assist any of the clients at the time of the incident. Staff spoke to C2 without emotional awareness resulting in a violation of clients’ personal rights.

Therefore a deficiency is noted on LIC 809D.

Exit interview was conducted and a copy of this report LIC 809D, and appeal rights were provided.