Facility Evaluation Report

On 06/06/2022, Licensing Program Analyst (LPA) T. White conducted case management visit regarding incident submitted to CCLD on 05/12/2022. LPA spoke with Administrator, Muhammed "Ali" Qureshi and explained the purpose of the visit.

Based on incident report, Client #1 (C1) was discharged from Lodi Memorial with a diagnosis of suicidal behavior with attempted self injury and suicidal ideation. C1 was picked up by staff and is currently at home now. Based on incident report, Administrator and client followed up with client's psychiatrist on 05/12/2022 for increase in psychiatric medications.

Based on interview with Staff #1 (S1), C1 attempted to cut her arm with a thumbtack. S1 stated staff called the police regarding incident. The police asked C1 if she wanted to kill herself. C1 stated "yes" and tried to attack police officers. C1 was then handcuffed and taken to the hospital. The facility attempted to have a meeting with Regional Center regarding incident. S1 stated meeting was cancelled on 05/31/2022. S1 agreed to come up with a written plan regarding incident.

S1 stated C1's medication was increased and no suicidal ideation has not been noted since that incident.

Exit interview conducted with Administrator and a copy of report given.