Facility Evaluation Report

Licensing Program Analyst (LPA) Renee Campbell arrived to the facility unannounced to conduct a case management and met with Interim Regional Director Mary Velasquez regarding an incident report sent on 08/13/24 when C1, who is non-verbal, was allegedly hit by staff. During the visit, LPA Campbell interviewed D1 about what they had heard on the day of the incident. LPA Campbell also requested that a LIC855 form be filled out by D1, S1, S2 and S3, regarding what they had heard or witnessed.

Immediately after the incident, staff assessed C1 for any possible injuries and C1’s responsible party was notified. No injuries were observed by staff. C1 was then allowed to go about their day in the program. Per D1, the facility conducted an investigation and could not substantiate that S4 hit C1 as no one directly saw C1 being hit. However, S4 was found to have exhibited unprofessional behavior and was given a Notice of Termination. Continued trainings for staff were then scheduled for their next All-Staff Meeting on the topic of Rules of Conduct.

At this time, no deficiencies have been cited.

An exit interview was conducted and a copy of this report were provided.