Facility Evaluation Report

At approximately 2:00 PM, Licensing Program Analysts (LPA's) Walters arrived unannounced to conduct a Case Management - Incident Visit and met with Licensee, Frances Fernandez (FF).

LPA and FF discussed a self-reported incident occurring on 4/22/22 involving C1 which resulted in an self-injurious that caused resident to be admitted into the hospital. LPA reviewed C1's Physician report, made observations and interviewed staff. Client has returned to the facility and is receiving follow-up care. Facility has increased supervision as a precaution and have discussed consent with clients.

No Deficiencies cited during this visit. Exit interview conducted with FF, A copy of the report was given.