Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh conducted an unannounced Case Management for a self-reported incident that occurred on 07/17/2025 at 9:13AM. LPA met with Chief of Operations (COO) Jaklen Keshishyan and explained the reason for the visit. Entrance interview conducted.

Between 9:20AM and 10:45AM, the LPA interviewed three (3) Staff, reviewed two (2) client files, and reviewed and obtained video footage of the incident. Beginning at 10:50AM, the LPA and COO conducted a brief tour of the physical plant areas to ensure there were no health and safety hazards. No immediate concerns were observed.

It was reported on 07/17/2025 that Client #1 (C1) and Client #2 (C2) participated in a consensual sexual altercation in the clients’ restroom. Video footage of the hallway showed C2 walking to the restroom at 1:05PM and C1 following at 1:06PM. Staff #1 (S1) was observed to follow C1 and remained in the hallway monitoring C1 through a reflective mirror. S1 stated Staff #2 (S2) advised S1 to keep an eye on C1 as they were headed toward the restroom. Between 1:07PM and 1:10PM, several clients were observed entering and exiting the restroom. At 1:11PM, the restroom hallway camera footage showed C1 and C2 conversing through the restroom doorways.