Facility Evaluation Report

At approximately 2:40 PM Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a Case Management - Incident visit. LPA was greeted by Charisma Nieves Mari, Administrator/Licensee, and signed the Visitor's Log. LPA informed Administrator/Licensee the purpose of today's visit was to investigate suicide threats by C1 as reported via incident reports (IRs) dated 6/15/2024 and 6/30/2024. LPA requested copies of C1's most recent medication list and notes from all of C1's psychiatry visits since last case management visit, 5/15/2024. Per Licensee/Administrator, C1 has not had any updates to her Individual Service Plan (ISP) by her Behaviorist since facility's last case management visit where LPA obtained a copy of C1's most recent ISP.

Incident Report Dated 6/15/2024: resulted in 911 being called, transporting C1 to the ER by ambulance, and subsequently C1 being placed on a 51/50, 72 hour hold for psychiatric evaluation.

Incident Report Dated 6/30/2024: resulted in 911 refusing C1 the requested ambulance transportation to the ER and facility taking C1 instead. C1 was discharged the same day without any changes to medication or care plan.

Per Administrator/Licensee, C1's care team has informed her that it is believed that C1 calling the Crisis Center and 911 as reported in the aforementioned IRs stems from C1's autism related attention seeking behaviors rather than from depression or actual suicidal ideations. LPA was informed that C1's care team has initiated weekly individual therapy sessions through Kaiser to help with coping skills rather than C1 going to the ER and calling 911. Additionally, Kaiser was out to the facility last Friday, 7/12/2024, to conduct an evaluation of C1 to determine eligibility for their Telehealth Mental Complex Needs group support services. Also, the Regional Center is working with Turning Point Services to enroll C1 in a Transitional Support Services program. Turning Point came to facility yesterday, 7/16/2024, conducted an evaluation, and approved C1 for the program which she will begin in approximately 2-3 weeks.