Facility Evaluation Report

On 02/26/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted a case management visit to the facility listed above. LPA met with Program Director, Yanett Aguilar, and the purpose of today's visit was explained. During today's visit all three (3) clients were present.

LPA conducted a case management visit today to follow up on a Special Incident Report (SIR) submitted to Community Care Licensing (CCL) on 02/23/24. The SIR states that during a clients behavioral episode, in January 2024, staff grabbed a client from behind roughly and staff took the client into their room. There was no additional details provided regarding the incident. The report of the incident was made on 02/21/24 via the company's Compliance Hotline. The SIR was submitted by the Operations Management Regional Director.

During today's visit, LPA toured the facility, interviewed staff and clients, and received Special Incident Reports submitted to Community Care Licensing (CCL). During an interview with the Program Director, they were unaware of the incident that was reported, and unaware of the SIR submitted to CCL.

During today's visit no deficiencies were observed or cited.

An exit interview was conducted with Program Director, Yanett Aguilar, and a copy of this report was provided.