Facility Evaluation Report

On 9/15/21 at 3:25pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit for an incident that occurred on 9-12-21 at approximately 7:28am involving Resident1 (R1). LPA met with Denica Layne and explained the purpose of the visit. Denica Layne stated she had to take a client to a doctor's appointment and spoke with licensee who gave permission for caregiver Sylvia Warner to sign in her absence. LPA conducted interview with Denica Layne prior to her departure. Incident involved R1 engaging in physical aggression towards staff.

LPA conducted a case management inspection to ensure Title 22 compliance and health and safety concerns. All sharp objects and toxins were secured and inaccessible to clients in care. Room temperature was adequate at 75*F. There are no obstructions to fire exits inside or outside facility. There were 2 staff on duty during visit. LPA reviewed R1's Individualized Program Plan (IPP), physician’s report, facility care notes, and incident report dated 9-12-21. LPA also interviewed facility manager. Based on the interviews conducted and records reviewed it is determined that R1 has behavior interventions for verbal and physical outbursts in place as noted in the IPP dated 12/24/20 and behavior assessment dated 1/31/21. Facility manager stated she has arranged for psychiatric services for R1 which took place on 9/14/21 with a follow up appointment on 9/16/21 to address possible additional interventions.