Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to follow up on an incident report sent to LPA on 11/03/2025 at 5:00 PM by Licensee Rochelle Cister. LPA Valerio met with Administrator Florinda Fuentes, and explained the purpose of the visit. LPA Valerio contacted Licensee Rochelle Cister via cell phone.

The incident report dated 11/02/2025 stated multiple staff came forward to report physical abuse towards Resident 1 (R1) by Staff 1 (S1). Based on internal investigation, on October 17, 2025, S1 allegedly abused R1 while changing R1's diaper. Staff 2 (S2) witnessed S1 hitting R1 arm using an open fist once during the diaper change. S2 reported did not report the incident immediately due to the fear of S1. S2 reported the incident on November 2, 2025. Staff 3 (S3) confirmed seeing S1 harming R1 using an open fist during a diaper change on a different date. S3 could not recall the date of the incident. S3 did not report right away due to the fear of S1. Throughout the investigation, it was learned that two additional staff, Staff 4 (S4) and Staff 5 (S5), have observed S1 using an open fist toward R1 and could not recall the date of incident.

S1 was terminated on November 2, 2025 by the Licensee due to "multiple incident of alleged client abuse, violations of company polices regarding client care and safety; creation of intimidating work environment that prevented timely incident reporting"

Action Taken by Facility: S1 was terminated effective November 02, 2025. R1 was assessed for injuries by other employees during these incidents and no injuries noted. Mandatory reporting to appropriate authorities completed and SOC 341 submitted on 11/03/2025.