Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez and LPA Elena Mallett conducted an unannounced Case Management Visit-Incident on 10/09/2025, stemming from incident report received on 09/08/2025. LPAs were greeted by House Manager Joseph Santoyo and explained the purpose of the visit. Administrator Mariano Prieto arrived shortly after to assist.

On 09/08/2025, LPA Ramirez received a Vendor Incident Report dated 09/06/2025, regarding Client#1 (C1). According to this report on 09/06/2025 at 6:15am, staff went into C1’s room to wake C1 for a shower. Staff noticed there was vomit in C1’s bed and C1 appeared to be sluggish. Staff immediately called 911 and notified the facility administrator about the incident. C1 was transported to a local hospital emergency room. C1 was treated for alcohol intoxication and released back to the facility with no new orders. Staff and attending hospital doctor discussed that with C1’s prior history of Pica, C1 may have ingested a household item such as rubbing alcohol, hand sanitizer or mouth wash, which could have caused the alcohol intoxication. Administrator Prieto directed staff to inspect C1’s room and the facility for the item or items that could have attributed to C1’s alcohol intoxication. Staff searched the entire facility and did not find alcohol in C1’s room or in any accessible cabinet but staff did find a bottle of mouth wash that should have been full; was now 1/5 lower than expected. According to the incident report, the hygiene cabinet was accessible and unlocked due to HCBS inspection recommendations. Staff immediately locked the hygiene cabinet after the incident.