Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards an incident report, which stated a resident had struck another resident. LPA's met with Administrator Marieson Floreza. LPA's explained the purpose of the visit.

On November 7, 2024, the Department received an incident report, regarding resident R1. The incident report stated on November 6, 2024, R1 and his/her conservator met with ADM. R1 had disclosed past incidents of inappropriate sexual behavior with an individual/person, referred to as P1. The incident report included a written account of these incidents dating back to when 2019, 2022 and 2023.

On November 18, 2024, LPA interviewed R1. R1 stated he/she has informed the facility that he/she does not want to interact or meet with P1. R1 stated they have a protocol on what to do if P1 comes to the home. R1 stated P1 has not come to the home. R1 stated he/she is doing better.

LPA interviewed ADM. ADM stated based on what R1 has told her, these alleged interactions occurred outside the home. ADM stated she, R1 and R1's conservator created a plan on how to proceed, with R1's wishes to be in mind. ADM stated she will also ensure the facility is following R1's request of not seeing P1 and following the agreed upon plan of action.

ADM stated she has a written plan of action on how the facility will ensure R1 was safe. ADM Provided LPA with a copy of the signed safety plan for R1.

LPA determined that the above incident does not require further investigation. No deficiencies cited during today's visit. This report was reviewed with Administrator Marieson Floreza and a copy of the signed report was provided.