Facility Evaluation Report

Licensing Program Analyst Michelle Reed arrived at the facility to conduct a Case Management visit. The visit was conducted to follow-up on an unusual incident report that was received in the Licensing Office on 8/2/22. Upon arrival, LPA met with Clinical Director Cristen Riiha. Administrator Diana “Dee” Apostu arrived at approximately 9:45am. There were 6 clients present at the time of visit.

On 7/31/22 at approximately 10:00 a.m. Client #1(C1) attempted to self harm by cutting her left upper arm with a metal fidget toy that was given to her by staff. Staff washed the wound and notified the nurse who was on site who performed wound care. The toy was immediately confiscated and disposed of. At approximately 1:30pm C1 was taken to Urgent Care where wound care was conducted and topical ointment provided. C1 returned to the facility at 2:30pm and a 1:1 was put into place. C1 discharged from facility on 9/10/22.

C1's medical assessment and care plan were reviewed.

No cited deficiencies issued at this time.

An exit interview was conducted and a copy of this report and appeal rights were provided to Diana Apostu.