Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management visit to. LPA met with Tracy Mcknight- Administrator and explained the reason for this visit.

During today's visit, the Department conducted an investigation after Licensee self-reported an incident which had occurred on 03/13/2024, in which Client #1 (C1) went to a liquor store and purchased alcohol and drank it while on a work site with staff. C1 ended up being intoxicated and was throwing up. Interviews revealed C1 admitted going next door to the liquor store and purchasing between 4-6 small shots of vodka. C1 went back to the work site and started apologizing to the staff, staff asked what they were apologizing for and C1 would not answer. The staff and 4 clients then left the work site and C1 started to throw up in the van. They got back to the facility and C1 laid down and was offered water. C1 laid down at the facility and explained to the administrator that they went to the liquor store behind the work site and purchased alcohol. One of the staff took C1 home after the administrator spoke with the administrator of C1s facility. CCLD initially had concerns regarding staff supervision.

The Department's investigation involved multiple interviews along with review of facility and medical records/ Individual Program Plan. The evidence showed: C1 is ambulatory, independent with all activities of daily living, and able to communicate their needs. C1's physician report states that C1 cannot leave the facility unassisted. Staff had observed C1 prior to the incident, and there were no indications that C1 was in distress or required assistance. Once the client came in from locking the dumpsters and apologizing to staff is when the staff knew something was not right.