Facility Evaluation Report

Licensing Program Analysts (LPAs) Cuadra and Coppo conducted an unannounced case management inspection. LPAs arrived to the facility and met with Mary Gannon Staff Supervisor. The purpose of this case management inspection is to follow up on a self reported incident report submitted to Community Care Licensing (CCL) on 7/31/23

Per incident report, on 7/31/23 at approximate 10:30am participant (P1) told Artist Coordinator staff that their blood sugar was at 100. Staff suggested to P1 to eat some fruit from their lunch, re-check their blood sugar levels and report back later. Prior to lunch time, staff checked on P1 and was told that their levels were better. After eating lunch P1 went to the bathroom, rang the emergency bell, staff unlocked bathroom door and found P1 laying on the floor unresponsive, 911 was contacted, they stabilized P1 and transported them to the hospital for further evaluation. Day program notified responsible parties and were told that a reading of 100 was normal for P1.

During today's visit, LPAs reviewed records and conducted interviews with staff regarding the incident and were told that they don't conduct a meter check to check participant's blood sugar levels because they are not medical licensed. However, P1 checks their blood sugar levels frequently. P1's home mentor provided a six pack of juice boxes and P1 will carry glucose tablets to have them at all times to prevent incidents like this one from happening again. The facility is in the process to update P1's Physician report and individualized service plan. The Department will review documents obtained to determine if further action is needed.

No deficiencies cited during today's inspection. Exit interview conducted with Staff Supervisor and a copy of this report was given.