Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted a case management visit to gather additional information in regards to the incident report received by the Department on 3/21/2022. The incident occurred on 3/18/2022. The visit is in response to the allegations made by C1 against the parent of C2 within the facility. This visit consisted of a review of the clients' files, observations of the facility, interviews with staff, as well as any health and safety issues. During today's visit, LPA was allowed entry and met with DSP S1 and explained the purpose of the visit. Administrator Sachin Mathur and S2 arrived shortly.

LPA reviewed C1 and C2 files and obtained copies including client Identification and Emergency Information sheet, DDS client profile, and IRC individual program plan.

At the time of this visit this home was found to be in compliance with regulatory requirements. It was determined that there were no health and safety issue observed in the facility at the time of this visit. No deficiencies were cited today in regard to this incident.

Administrator had to leave the facility prior to the conclusion of the visit. An exit interview was conducted and a copy of this report was given to S2.