Facility Evaluation Report

On 11/25/2024, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to conduct a Case Management Quarterly Visit. LPA Campbell met with Administrator Kathleen Quiaot and explained the purpose of the visit. All the residents were in Day Program and not present in the facility. The Administrator Quiaot and Caregiver Florencia Yadao were present. Both were finger-print cleared and are associated to the facility.

In regards to the requirement that the licensee will create a plan on how items brought into the facility will be inventoried and stored, LPA Campbell observed that staff have logged when residents have been searched for weapons and sharp objects. However, no procedure was found. LPA Campbell consulted and clarified with the administrator that they will create a Plan of Operation addendum for updating client's IPP in regards to cutting behaviors and email it to LPA Campbell. The administrator stated they had been documenting inventory for R1 because scissors had been found in their bedroom and R1 had used it to cut themselves per the Incident Report submitted on January 04, 2024.

In regards to staff training, LPA Campbell reviewed the last training agenda from the 05/07/2024 Case Management Report that covered Behaviors. When asked to provide documentation of the most recent training, the administrator stated staff had training and Loss and Regulations on 11/22/2024. As verification, the administrator was able to provide an email receipt for the class payment from the vendor and the list of staff taking the training that was provided to the vendor. LPA Campbell requested that the verification be sent to LPA Campbell via email.

In regards to Technical Support Program (TSP) participation, per the Case Management on