Facility Evaluation Report

Licensing Program Analyst (LPA), Sara Martinez, arrived unannounced at the facility to conduct a case management visit to address the one (1) Special Incident Reports received for client # 1(C1) behavior. LPA met with administrator Diana Gatz and Licensee Joseph Spedaliere, who was informed of the purpose of the visit.

The Department received one (1) Special Incident Reports (SIR) on 06/08/2023 regarding C1 and her self harm behavior. C1 had cut herself with a eyebrow shaver on 06/06/2023 due to an emotional behavior outburst. SIR details that C1 has tendencies to perform self harming behaviors but when staff is made aware they redirect and help C1 calm down. C1 refused to go to the hospital but first aid was still given by staff.

LPA Martinez interviewed staff and clients, and collected pertinent documents.

Based on observation, interviews, and record review from today’s visit, no information was received by the LPA to indicate there was any lack of care and/or supervision. No citations have been issued at this time. This report was reviewed with and a copy was provided to adminstrator Diana Gatz..