Facility Evaluation Report

At approximately 9:10 AM Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to conduct a Case Management Inspection on Incident Reports received by Community Care Licensing (CCL) on 10/23/2023, 11/02/2023, 12/01/2023, 12/07/2023,12/08/2023, 12/12/2023,12/19/2023, 12/20/2023 and 12/21/2023. LPA was greeted by staff, and discussed the purpose of the visit. Manager of Program Operations, Kayla Hotchkiss, arrived at approximately 11AM. House manager, Brittany Brown arrived at approximately 11:25AM, and Administrator, Andrea Jackson arrived at approximately 12:30PM.

LPA observed there were 2 staff on shift, 4 clients in the house, and 2 clients at day program at the time of visit.

Incident Report #1 received on 10/23/2023: Staff heard a loud thud followed by a scream from Client #1 (C1). Staff observed C1 to be laying on their left side and C1 refused to get up with help from staff. C1 got up after a couple minutes and took a few steps and fell to the floor. Staff noticed C1's arm hanging unusually and called 911 as staff suspected it to be broken. C1 was transported by paramedics to the hospital for treatment. C1 was diagnosed with a closed fracture of shaft of left humerus.

Per conversation with Manager of Program Operations, C1 was also observed to have their feet tangled in their sheets, and that although C1 has an unusual gait it was unusual at the time for C1 to fall. The hospital wrapped their arm and put a sling on and returned them to the facility without pain medications. Upcoming appointments for further treatment were to be determined at the time of hospital visit. Facility got a prescription for pain medication for C1.