Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced case management visit regarding the incident that happened between two resident. LPA met with designated administrator Ninfa Gozon and stated the purpose of the visit.

On 10/22/2025, the Department received an incident report regarding intimacy between two residents. On 10/23/25 and 11/05/25 the Department conducted an investigation and interviewed R1 and R2, 2 staff and the administrator.

Based on interview, the facility staff was not aware that R1 went to R2s room without invitation from R2 at approximately 0200 hrs. R1 is high functioning, and can communicate and express his/her thought and gave his/her account of what happened. R2 is developmentally challenged, and cannot fully express himself/herself. R2 gave an unclear account if the intimacy was consensual or forced.

Based on observation and document review, R1 is high functioning and is able to verbalize and communicate clearly. R2 is developmentally challenged and is not able to articulate and give detailed account of the foregoing event.

Based on interview of staff 2 (S2) and administrator (ADM) both stated that R1 is high functioning. R2 is less verbal and has a hard time communicating and verbalizing and is not able to give account of the foregoing event.