Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a Case Management Visit. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 02/17/26. LPA was greeted and met by Administrator, Beverly Harris at the front door. LPA introduced self and stated purpose of the visit.

On 02/17/26, it was reported that staff 1 (S1) violated client 1 (C1) personal rights by speaking to them inappropriately and refusing to provide water.

During today's visit, LPA met with Administrator to discuss the incident and surrounding events. LPA did a health and safety check and reviewed records. During record review, it was discovered that the facility terminated S1 after concluding their internal investigation.

Deficiency was issued during this visit. An exit interview was conducted where this report LIC809, LIC809D and appeal rights were, reviewed, discussed and then provided to administrator, Beverly Harris.