Facility Evaluation Report

LPA Bruce Jacobs received an incident report from the facility and conducted a follow-up/investigation at the facility on this date. LPA met with caregiver Nora Soliaisia and spoke to Facility Administrator Gina Hernandez by phone. LPA had previously spoken wit D. Bonnett of the facility as well to obtained additional details on the incident report.

Licensing received a report of an interaction between two clients with the initial report indicating one client (C-1) was the initiator. During a follow-up review of the incident by LPA, information was obtained that the client was contacted by Law Enforcement and then taken for evaluation not released back to the facility. It was reported that there were two staff in the home with three clients at the time or the incident

LPA interviewed the staff involved in the incident who provided additional information. Records were reviewed and documents obtained. LPA inspected the bedrooms. Interview conducted with care staff.

At this time there has not been a determination that a deficiency occurred or was identified. A further re3view of the incident will be conducted. No deficiency was issued at the time of this visit.

Exit interview conducted and report issued.