Facility Evaluation Report

On 12-29-21 at 3:23pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit for a reported incident occurring on 12-2-21. LPA met with direct support professional Carli Ragsdale and explained the purpose of the visit. Facility manager Denica Layne was notified by phone and spoke with LPA regarding the purpose of the visit. Denica gave permission for Carli to sign in her absence. LPA also conducted facility tour and observed room temperature to be at 70*F. Facility was clean and sanitary with no foul odors. Sharp objects and toxins were inaccessible to clients in care. No obstructions to fire exits inside or outside observed by LPA. LPA reviewed incident report dated 12-2-21 with facility manager. Based on incident report it was reported that on 12-2-21 at 10:35am, facility received a phone call from Resident1 (R1) day program teacher stating R1 was removed from class due to inappropriate sexual remarks which also escalated into a fall involving both the teacher and R1 after R1 allegedly ran towards the teacher. It was also reported on incident report that R1 stated the teacher struck him causing a red mark to his lip. LPA reviewed R1s Individualized Program Plan (IPP) and interviewed facility manager. LPA also interviewed R1.

Based on interviews and record reviews, it was determined that this incident was reported to regional office on 12-3-21 and within 24 hours of incident occurrence. It was also determined through fax confirmation that incident was reported to ombudsman on 12-3-21 and within 24 hours of occurrence. It was further determined that facility did not report incident to local law enforcement within 24 hours of occurrence.

Deficiencies are cited today under Title 22, Division 6. An exit interview was conducted with Carli Ragsdale and a copy of this report was left with Carli. Appeal rights provided.