Facility Evaluation Report

On 10/21/2021 LPA Cuevas codncuted and unannounced visit to the facility to follow up with reported concerns that Resident # 1 (R1) was observed being lethargic and sleeping during school hours. LPA was provided with MAR's records,incident reports, and physicians report.

Review of documents identify residents to be receiving medication management by both a psychiatrist and primary physician. Furthermore, during visit LPA was informed that R1 was recently hospitalized on 10/20/21 due to school reporting concerns for over being medicated. Reviewed documents from hospital discharge documents reveals that lab work was done, bwork identifies reading to be within range. R1, was discharged the same day back to the facility.

Per interviews with staff it was communicated that R1's enrollment in school has been a difficult adjustment as R1 was not use to the routine and school rules. Facility has made attempts to move R1 to a school more suitable for his behaviors; However, per facility staff school district wanted to try regular setting before considering other school cites. Staff reports R1 to demonstrate behaviors of shutting down and not paying attention when not feeling like engaging with other, this may have been misinterpreted as defiance; however, per facility when R1 comes home from school R1 returns to base line behaviors of engaging with others and being energetic.

No concerns observed during todays visits.

An exit interview was done with Administrator, Bertha Martin were this report was reviewed and provided.