Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit to follow up on an incident report submitted to the department on 11/4/24. LPA met with Massoumeh Ho and explained the reason for the visit. Administrator arrived 20 minutes later.

On 11/4/24 facility submitted an incident report to report staff #1(S1) had behaved inappropriate with client #1(C1). Per the report on 11/2/24 administrator received communication that S1 yelled and cursed at C1 at around 11pm. On 11/18/24 LPA Flores contacted administrator over the phone, per administrator, it was reported that S1 used foul language and yelled at C1 when S1 was trying to speak to S1. S1 was suspended and an internal investigation is being conducted. LPA reviewed S1's employment documents. Facility provided initial training on 10/10/24 and 10/16/24 which includes zero tolerance, client's personal rights, and abuse.

Due to the incident taken place, in which S1 behaved verbally inappropriate with the client, a deficiency has been noted today per Title 22 Regulations.

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