Facility Evaluation Report

On 10/22/2025 at 9:35am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced Case Management - Incident visit at this facility. LPA met with Jolanda Cartridge (Administrator) and explained the purpose of the visit to conduct a health and safety check to follow up on a incident that occurred on October 5, 2025.

The Department interviewed Administrator #1 (A1) Clients (C1-C3), and Staff (S1-S2) regarding the incident involving (C2) & (S2).

The Administrator reported an incident concerning with Client #2 (C2) and Staff #2 (S2) involving alleged physical assault. A1 stated she was notified of the alleged incident during a quarterly meeting on October 6th, 2025 with the Client 2 (C2) service coordinator from Harbor Regional Center. She confirmed that no visible injuries or marks were observed on the client. The client has a documented history of making false allegations and behavioral outbursts, tracked monthly in a Behavior Data chart; in September, the client made 20 false claims. This was the first time the client accused staff of physical assault. Staff are trained to handle behavioral outbursts and respond appropriately to allegations of abuse, with the last training conducted on September 2nd & 22nd, 2025.