Facility Evaluation Report

At approximately 9:30AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Case Management - Incident Visit and met with Staff Member, Carla Cadillo. Assistant Director of Program Operations, Holly Skidmore, arrived at approximately 10:00AM. Administrator, Antyon Liggins, arrived later during visit at approximately 10:45AM. The purpose of the visit was to follow up on self-reported incidents that were submitted to Community Care Licensing (CCL).

Incident Report 1/Incident Report 2/SOC-341: CCL received two incident reports on 04/07/2023. Incident reports were regarding Client 1 (C1) and Client 2 (C2) and the physical altercation that occurred between them on 04/03/2023. Facility also submitted an SOC-341 on 04/07/2023 regarding the incident. Review of the reports state that C1 was upset that housemates were coughing and kicked C2. C1 continued to escalate their behaviors. Staff members intervened and tried to redirect both clients. C1 then punched C2 in the face resulting in minor injuries. C2 was taken to the hospital to be evaluated. Administrator met with C1 to discuss the incident. Facility scheduled an appointment with C1's psychiatrist to review their medication. Facility made all appropriate notifications per regulation.

Incident Report 3: CCL received an incident report on 04/28/2023. Report stated that C1 was at a Physician's appointment where it was discovered that C1 had self-harmed themselves. Facility contacted C1's psychiatrist for an appointment. Facility has also provided C1 with alternative coping strategies, and has contacted C1's behaviorist to review their support plan. Facility made all appropriate notifications per regulation.

I ncident Report 4/Incident Report 5/SOC-341: CCL received two incident reports on 05/26/2023. Incident reports were regarding C1 and C2 and the physical altercation that occurred between them 05/25/2023.

Facility also submitted an SOC-341 on 05/26/2023 regarding the incident.